HomeMy WebLinkAbout056-370-003�G
j
A rt & Marie Martinez 56-37-03
N/S al Drift Wa
Garland,._ Y' app 400 E of
.Fores ".Ranch......... __. _
Permit # 2 -82B P <
stor) ,E(new pri det Qar/
Permit
#3491-83B-(lst � 5``�'`.�
s,4 - enewal/29_
' _,�
Permit��3208-84B nd renewal/2 2- r�7
6-37-03
56-37-03 V
Perm' 3060-85B'(3rd renewal/2932-82)
i
56-37-03 ''92-1479 BPEM
MARTINEZ 'Albert 8, Marie
5667 Royal Drift Way-, Forest
addi"tion/sf
056-37-0-
-3 7_p A-9 Z
MARTI -003 -
5667 OYa Albert �3-1
Roya231 B,
(new l Drift W.
& Marie E
garage) WaY' Forest
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RMIT NO. t
RMIT EXPIRES ,��/��/a✓
NER Albert & Marie Martinez
NTR. Owner
3ESSOR PARCEL 56-37-03
N/S Royal Drift Way, app 400' E. of
LOCATION
Garland Rd, Forest Ranch
OFFICE
C
Pia Y0
y
Address
j
1'
jlM
GAS
'
Meter By.
Date
+
ELECTRIC
MeterBy
—Date''fl
Temp.
Gas Service
rCalled
PG&E
it
JOB FINALED (Date)
i
A
Signature _
i
I/ = OK
.. - • R >
O = Not OK
= Not Applicable
= Not Ready MOBILEWOMES MISCELLANEOUS
� � _ .-.. ..
Date
MOBILEHOME UTILITIES (Plans) OK except#'s
1. Zoning Requirements--:Setbacks-Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. -Zoning Requirements -Setbacks -Easements
4.
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; -Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed .(Sketch)
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"fl./ /"Nat. or/ /"L"ft./ /"LPG
7- Utility Clearance
6. Carport s;.Windows-Doors
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 N's
Date
POOLS (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
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 -Panel boards -Ins. to Main in Conduit.
9. Exits; Insp.-Sketch
10- Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply, Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
4.
FAr
G
I
V = OK '
0 _ kJr CK =�-NotApplicable RESIDENTIAL (Single and Duplex) ,
= Wot Ready,
Date UNDER OOR Plans OK exce t 's
Date FRAMING Continued
ning requirements -S s- 0 Cr
y ine Firewal .& Openings
Ele nd.- / /" Frn pth
xt. Doors -On. -Check Garage -3rd story, 2 exits
3. Ftg., Garage; Soils- I- //,F/" Ftg. Depth
Stairs; Wi -Head -Rise-Run-Landing-Fir rotection
4 Ct9 rp s n e 4i4eel /--/" Ftg. Depth
Plywood on Rqp!-Overhang-Attic Vents -Rafter Outriggers
-
62r -Sliding -N ng -Veneer
J, &ttsmwalls, Garage;
b3. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel L
W.V.:-FiIbags T -7w /O r e
as Pipe; A S
Protection -Skylights -Plastic
-Bolts
Qe2ater Pipe;6 Aachers=Ree,"letor rvice lest
. Electric; Underground
12. off Fns.
1 - - lu'st's-1Venfs==Gripples-
Card -BI Date - Card -BI Date
Card -BI jSU Date /8 Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date ,)j�;�7i Card -BI Date
Date FIN (Plans) OK except N's
Card -BI Date Card -BI Date
Date P U NG (Permi O cept 'so
Ext. Steps -Door & Sidelight Protection -Landings
e Detector
Water Ht. A es ombustion-Air 30
38.--Fnn79ce; Vents -Clearance -Comb. Air-Connector-
In Garage; Above Floor-Ducts-Mech. Protection
1141"Water Pipe; Tg$4,X-ArCbers-Nair to ectign
W.V.; TZWFttngs & Anchors-NaCPFotection
ting
Shower Pan; Test, First Floor -Tub Access
.F.I. & Bath Fixtures & Tub Access
b & Shower, 2nd Floor -Tub Access
ec. Trim-& Subpanel; Breaker Sizes -Labels
145e fr",1 s Pipe; Size & Anchors
Stairs ails
Clearances -Hearth
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI' Date Card -BI Date
lance; Grnd.-Air Gap -Cooking Clearance
Card -BI Date Card -BI Date
eg. Outlets & Receptacles at Kit. Counter
Date ELECTRICAL Permit OK except q's.
Fire Doer;,Swing-Landing-Closer
Duct in Garage -Damper
20. Fixture & Transformer Clearance -Ins. Protection
6 Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-
Garage; Above Floor-Mech. Protection
Elec. Receptacles Spacing -Lights & Swit hes at Doors
P Elec. & Mech. Equip. Listed for Location
ize Boxes & No. of Conductors -St d
ec. Receptacles in Garage; (G.F.I.)-R ex Protec.
omex Installed Close to Edge of Studs & C-
lap.J.
CA"quip. Ground made up w/M astener Bon as &
i sulation-Foam-Looked in Attic es
ward Rails &Deck Construction -Post Caps
uits in Kitchen &Conductor Size
- ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
4. Fd . Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
ked under Floor ❑ Yes
ngeirc. / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes CJ No
Following instld.:Drive es ❑ No; Walks ❑ Yes No;
Planters ❑YesRKO
Service -Riser Conductors & Ground -Main Disconnect
---M;Qo.�grown-Fish
JA ✓ 4 in
isconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
learances; Panels-Motors-Mech. Equip.
-60:-G4egmw-G4oset Light -Shower Light
a - (/Y/e fAgek
s Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
797. W er Well; Disconnect, Electrical, Plumbing
_
rior Elec. Trim; G.F.I. Receptacle -Underground
Card B- ate---5,4VW Card -BI Date
Ve ' etion throughout House
Card B -I JMDate Card -BI Date
ss Protection
Date I IECHANICAL (Permit) OK except N's
_
rrections from Previous Inspections
83. s Test -Meters Tagged; Gas -Electric
1. A.C. Ducts; Insulation & Support
. Water & Sewer Connected -C/O to Grade -HD Approval
2. Vent Fan; Exhaust above Insulation
86 -.-Energy Compliance Certificate -Other Certificates
_ 3. Condensate Drain & Overflow; Size & Grade
4. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
5. Attic Access & Platform if Furnace in Attic
--
Card -BI Date Card -BI Date
Card -BI _ Date Card -BI Date
Card -BI Date &t Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date
$'`7 Card -BI Date
Date FRAMI G Plans) OK except q's
IF
Comments at Final:
gar�sills; Proper Material & Anchors
_ 44-'%alls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
39. JOraft Stop in Wal (rat proof)
GQ rte..
ire Stops; F d Ceilin s -S rs-Chases-Tub
Bader_B Size & BearingfF/ -
angers -Po t C s -Anchors -Connectors
in. stRtTies-Purlin-Roof Brac
.-Trus-Sng. fC-nq
irep ace Ties or Type A Flue -Fire lace Throat
'1tic Access; Sizq &_Momex Protect io, Draft Stop -Ins. Baffles
Windows or Exiting Doors -Sill Hgt. & Dimensions
arage ire Protection Framing
(NOTE: An entry must be made each time you visit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A rout'ne inspection indicates that the following violations of County Ordinance
exist t the above address and should be corrected. Please notify this office
whe correction of work is completed. If you have any question pertaining to this
m ter, or need additional explanation, please contact this office immediately.
-P R Jc-w(,ar
Inspector Date ✓/ V � -� � lo_
r
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57.
CORRECTION NOTICE
unico PF=PKAIT Alr)
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 additiona1,explanation, please contact this office immediately.
Inspector ���G�" Y/ -- Date
COUNTY OF BUTTE
g DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, OroviIIe — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER / /N�PERMIT NO.
rout ne�Ihsp J �indic� s tha the followi iolations 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
Zter, or need additional explanation, please contact this office immediately.
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Inspector Z % J
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Inspector Z % J
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COUNTY OF BUTTE
j V�, DEPARTMENT OF PUBLIC WORKS -
r 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone:. 872-2961, Ext. 57
CORRECTION NOTICE
/I1 AA-)T,A)�Z
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
aen correction of work is completed. If you have any question pertaining to this
tter, or need additional explanation, please contact this office_ immediately.
C
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WIM
Inspector` GIJt✓iililat-J'YL.., Date_ �O""�
COUNTY OF BUTTE - DEPARTMENT OF PUELIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVIIzLE, .CA_CIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATI_'ON DATA SHEET /
Permit No. '7
OWNER 4LBEEE 1,�IlgRI E ";4P_7 /JEZ- A. P. No. 5& - 37 o3
Proposed Building Use DET•
Permit Fee Based n: Up\o1 Complete Contract Price DPW Valuation
`� '- O�her (Explain)
Building Inspector
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate/triplicate. . . . . . . . . . .
3. Complete plans in duplicate./triplicate. . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . , . , .
9 LLetter of signature authorization/7 . . . . . . . . .
1i0. Sanitation approval from Health Dept.
�ptt �fl 11. Planning approval for (A) Use: (B) Parking:
—
12. Certificate of Workmen's Compensation Insurance .
�J►— 13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . .ection for Required. . .
Buildispec. request to
17. Pre'Ins Re
p � 4 Buildin, Inspector (Date)
When you issue the permit, process as follows: aiowner. Mail to contract
Telephone925-- 7and hold for pickup at office. Deliver w/inspector.
Other_ 1
Z -1r,
Appl icay��t v ��'C�-•�il/'�pate /
Copy of plans sent Health Dept., Fire Dept., Other UDate
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No. Q
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data y Telephone Mail Other
By Date
Plans checked by_ Date ou
Plans approved by J Date 6
Other:
"��' ^�,-DPW
COUNTY OF BUTTE - Department of Public Works
7 County.Center Drive, Oroville, CA. 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information in the envelope provided at your
earliest opportunity -to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction
of the proposed property improvement (yes or no) �.
2. I (have/have not)signed an application for a building
permit for the 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 License No.
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
S igned :
Property Owner
Social ecu it number
Date7o." �i�.� l . -�l. '/G? -V
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
permitted to issue the permit.
, I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center'Dr`ive - Orovil le, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO
q. 2 g
ASSESSOR PARCEL NUMBER
OZryj
ZON G
BUILDING PERMIT
Owf,r nnn p^C
T LEPHO
SQ. FT. OCC. BUILDING VAL ATION
///0n/7y7/k-//�_
OWIR'S MAIL.26 NG DDRE55 _�� Cloe� n
CONTRACTOR'S NAMEO�V/(/ E
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
^�,,
(.(/, U-9
Filing Fee
$ 10.00•
LENDER'S MAILING ADEYRESS
Permit Fee
$
ARCHITECT OR ENGIN
LICENSE NO.
Plan Checking Fee
$ Z 'S0
Penalty
$
ARCHITECT OR ENGIN ER'S MAILING ADDRESS
Permit fee
$ SC7
' AM- �P �p�j �,
BUIL/ 91 SADDRESS ,��/¢sL�,"
PLUMBING PERMIT
Filing Fee 10.00
/DRO/Fj
/'-�
OF �,�l-c AA- 1,D O 1r
Each Trap
2.00 app
Repair drainage or vent piping
5.00
�'-
�9L
Water.piping
-5,00
LOT O.
LOT?;.
SUBDIVISION NAME
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00 , t90
Gas piping system 1 -5 outletsj,p0
USE OF STRUCTURE
PO* p �g,�/�cJ
SF ❑ Duplex ❑ Mobi lehome ❑ Other %
SPECIFY
Building sewer
00
Lawn sprinkler system
5.00
TYPE OF WORK
New ErAddition ❑ Remodel ❑ Utilities ❑ Installation El Other ❑
Describe work:
Permit Fee
$. ,00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main seryice 500V OR LESS
100 AMP OR LESS
Main service EA. ADD'L 100
2.510 �. -0
OAAMgP�
NEW CONS. I DWELING OR ADONST %ACCLBLDGSe �)
20 sq ft IZ 7_457
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuSlnesS
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
NEWi.CONS R BRANCH TLE:TCIRCUITs 2.50 ea
NEW CONSTR. /POWER APPARATUS &I
NON-RESID. %SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES 50 @ 250
FIXED APPLNS, . R
EX. Occup.(OUTLETS (RESID) EA. 2.00
Temporary service 10.00
Mobile Home Facilities• 15.00
Misc. Wiring 7.50
Permit Fee $ 0,
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
1Gf I shall not employ any person in any manner so as to become subject
y� to the W. C. laws.of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
liabilities, judgments, c ts, and expens which may in any way accrue
ag 'in id County in co e f the ntZ of this permit.
Xate
Signature of Applica — Ownor� ContractorWDAgent ❑
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 22 .7S
OCCUP. GROUP
I TYPE OF CONST.
JPA7LJ
:;J
NDlj;.all
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIffCTOFt BLIC
By.
PERMIT EXPIRES Date /b�-t
the applicrable provi-
resolutions to do
fees have been paid.
WORKS
Date Ab
7
Receipt No. / 1 ?
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, CaHfornia 55965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSO�UMB ..
ZO�'j�',G
BUILDING PERMIT
O X1-g-,EXO—T111A145/� A414P—W41E•Z7
TELEPHONE
SQ. FT. OCC. BUILDING VALU TI N
D W/ V;bC7 mo r /LfAG AW/4-
CONTRACTOR'S NAME �r
TELEPHONE
CONTRACTOR'S MAILING ADDD//RES
Fireplace
CONSTRUCTION LEND
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ACOCRESS
Permit Fee
$
ARCHITECT OR ENGINE E
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 621 _40
Bu. NADD ss ��`r �� �� /
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
roQg T
-Water piping
5.00
LOT o. IS
/Z`IVISION NAME
/C.dYAL- Dzzrr F& T,4r6f
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehome ❑ Other pDel (j'
SPECIFY
Building sewer
5.00
Mobile Home I S I G JW
10.00 e
TYPE OF WORK
New ❑ Addition ❑/ �emodel�]� Uti I�'e�[� yq���tio Other
Describe work: S �{J G i z
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ACDNS. ACC. BLDGS.
Z�120sq ft
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)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR., ULT' -OUTLET 2,50 ea
NON.RESID BRANCH CIRCUITS)
NEW CONSTR. POWER APPARATUS &'
NON- (RESID. (SINGLE OUTLET CIR.
Ex. Occu /o 20@501
Occup(OUTLETS
Ts OR FIXTURES eALe30
APPLNS, OR
EX. Occup. OUTLETS (RESID•) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
.r-� 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.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against sa' ouvAty in consequenc of the granting of this permit.
X Date
Signature of Applicant — Owner ❑ ontractor ❑ 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.
PARCEL
PD
I ND
660E
This permit is hereby issued under
siof the Butte County Code and/or
wo i is d above for which
tTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
/O�Z�_gly-
Receipt No... /
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
J COUNTY OF BUTTE = DEPARTMENT�OF.PUBLIC WORKS - BUILDING DIVISION
v/ 7 COUNTY CENTER,DRIVE - OROVILLE ,13ALIFORNIA 95965 - TELEPHONE: 916/534-4541
h
gRMIT APPLICATION DATA SHEET
Permit No.
OWNER 4L A. P. No. �59-3"-03
Proposed Building Use-,.% ;?6A/F-(A.),A--
Permit Fee Based'Upon: Complete Contract Price DPW Valuation
Other( -Explain)
Building Inspector Date_
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
—Z 1. All items have been submitted. . . . . . . . . .
2. Plot plans in duplicate./triplicate. . . . . . . . . . .
3. Complete plans in duplicate. /triplicate. . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ , . . . , , ,
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept. . .
11. Planning approval for (A) Use: (B) Parking:-
12.-
arking:12.- Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ )
15. Improvements may be required. . . . . . . . , , , ,
16. Mobilehome Installation Data. . . . . . . . .
17. Pre -inspection for •Pre-Inspec. request, to
.17. p equired. wilding Inspector tDat
Other /o , Z Ott �' � /a /� -83ZI
When you issue the permit, process as follows: i/ Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By Date
Plans checked by Date
Plans approved by Date
Other:
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-454.1
OWNER -BUILDER VERIFICATION. ,
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return.this information in the envelope provided at your
earliest opportunity to avoid.unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction
of the proposed property improvement (yes or no)
2. I (have/have not) signed. an application for a building
permit for the propose 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 License No.
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
S igned :
Property Owner W
Social Security number
Date���� .
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
permitted to issue the permit.
COUNTY OF BUTTE - Department of Public Works
7 County,Center Drive, Oroville, CA 95965 ' Phone: 916-534-4541
OWNER-BUILDER'VERIFICATION
Attention Property Owner:
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 major.labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) signed an application for a building permit
for the -proposed work.
NOTE:
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address
Phone Contractors License
M
City
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
5.
Address; City
Phone Contractors License No.
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
Social•Sec rit Number - (,
Date � r,
j
;
This Owner -Builder Verification is sent to you as required by Sections -%19'81.1 and
19832 of the California Health and Safety Code.
�a
This verification must be completed and returned to our office before we are per-
mitted to issue. the permit.
y,302-0
d
0
U
�1
�
a
U W
O
COUNTY OF BUTTE - DEPARTMENT 017'4 sLIC WORKS
7 County Center Drive - Oroville,'California 959E A phone 916/534-4541
APPLICATION AND PL'ieaJriI
3PERMIT NQ.
ASSESSOR PARCEL NUMBER
56-37-03
ZONING
TM -5
BUILDING PERMIT
OWNERLEP'
Albert &Marie Martinez
E
TA 73-��67
SQ. FT. OCC. BUILDING VALUATIO
OWNER'S MAILING ADDRESS
14725 Brid a ort Circle Ma alia
CONTRACTOR'S NAME
owner
TELEPHONE
2nd
Renewal
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
none
UNKNOWN
Total Valuation $
FilingFee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee @ FEE
$ 42.50
ARCHITECT OR ENGINEER
none
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 52.50
BUILDING ADDRESS
NIS Royal
PLUMBING PERMIT
Filing Fee 10.00
of Garland Rd.
Each Trap
2.00
Solar Water Heater
20.00
Forest Ranch
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other Pri _ i)Ptt�arac>'A
SPECIFY �T
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
2nd Renewal Permit #2932-82
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00
1St Rene 3491-83
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
2,/20sgft
ONTRACTORS 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)
El I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
I for th's reason
NEW CONSTR
NON-RESID BRANCH CIRC ITS 2.50 ea
NEW CONSTR POWER APPARATUS &)
NON.RESID• SINGLE OUTLET CIR.
Ex. Occu 20@50e
PI OUTLETS OR FIXTURES BAL®30
FIXED APP LNS, OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare undef p natty 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.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs,'dnd expenses which may in any way accrue
a Inst said Count in consequence of the granting of this permit.
- ' r
X Date �--�' �y
Signature of Applicant — Owner ® "Co rector ❑ 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 $ 52.50
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
ND
?SSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR PUBLIC
BY
PERMIT EXPIRES Date_ 10/26/85
the applicable provi-
resolutions to do
fees have been paid.
WORKS
(Date 1104=09
Receipt No. 2
WNITE-D.P.W., YELLOW -ASSESSOR, PINK- NSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE —Department of Public Works
7 County Center Drive, Oroville, CA. ' 95965 Phone: 916-534-4541
OWNER -BUILDER VERIF ICAT ION
Attention Property Owner:'
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay in -processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1. I personally plan to'provide the major labor.and materials for construction
of the proposed property improvement (yes or no)
2. I (have/have not), signed an application for a building
permit for the 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 License No.
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
S igned :
Property Owner Q93'
Social Security numr
Date /Q1=8'
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
permitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
—�
ZONING
BUILDING PERMIT
OWNER
AlatLe Mart"
TELEPHONE
Z
SQ. FT. OCC. BUILDING VALUATION
OWN 'S MAILANG ADDRESS
O TRACTOR'S NAMTJ
T L PHONE
CO TRA TOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRE.SA
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
Mobile Home S G W
5.00
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
600V OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
ONTRACTORS LICENSE LAW
I declare under p of perjury (Check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER
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 CONST. DWELLING OCCUP.SIOR DNS ( ,
AUC It
DC
N0sq
EW ONST_FL TI OUTLET .50ea
NO N.R ESID BRANCH CIRC ITS 2.50 ea
APPARATUS IN
(SINGLE OUTLET CIR. I
Ex. OCcup(OUTLETS OR FIXTURES 20@50Q
BAL&30
FIXED
Ex. OCCUp. OUTLETS P(RESID )LINIS REA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under enalty 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.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certif`,ethat '1=have•read this application and state that the above information
is correci?,I gree to,comply to all County Ordinances and State Laws relating
to buildhV,.p9nstruction;.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, judgmerit6s - costs, and expenses which may in any way accrue
against said Cou y in consequence of the granting of this permit.
%� Date �^^ fi' je
l Y s
Signature of Applicant — Owner ❑ tractor ElAgent'F-1work
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 $
TOTAL PERMIT FEE $
Oc CUP.
CONST.TYPE
FLOOD
PARCEL I
PD
ND 1
17'
This permit is hereby issued under
sions of the Butte County Code and/or
indicated above for which
DIRM OF YPBC
B
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
ORKS
/
Date `D
Receipt No. l
WNITC-D.P.W.. YELLOW-ASSF3SOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
W
COUNTY OF BUTTE -..DEPARTMENT OF PUBLIC WORKS
7 County Center Drive; Orovtille, CA 95965 PHONE: 916-534-4541
Albert & Marie Martinez
14725 Bridgeport Circle
Magalia, CA 95954
With reference to the above subject:
DATE October, 22, 1985
. RE: Building Permit Renewal of #2932-82
A.P. # 56-37-03
Attached is:
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
X Owner -Builder Verification Form List of Codes Enforced
OTHER Receipt
Ix I We need the following information:'
Permit application signed and completed -where indicated with all copies returned.
.Fees of,-$ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in i., including plot plans.
Plot plans in
Structural details in
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street -and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
196 Memorial Way, Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
.Planning approval from Butte,County Planning Department, 7 County Center Drive,
Oroville, for
X Completed Owner -Builder Verification form.
Recorded copy of deed showing
Recorded copy -of agricultural acknowledgement statement.
OTHER Please complete the attached owner -builder verification form and return
to this office so we may issue your renewal. Thank you.
Should you have any questions concerning the above, please -contact this office.
JFG/aj
Yours very truly,
William Cheff
Director of Public Works
.F. Glander
Chief Building Inspector
R ENTIAL
t.
56-37-03 - 92-1479 BPEM
t
MARTINEZ, Albert & Marie
5667 Royal Drift Way, Forest Ranch
addition/sf
:�
o�� Czar l and
9
30 "6
_- CVVI
.¢..Y
lJ
1�
Address
•
GAS [)ate / Y�
Meter BY
ELECTRIC Date
i •}
Meter BY —
9ti
\1
tit
i
JOB FINALED (Date) L�
Signature �-'
J=OK '
O=Not OK r
Applic
No Readyable MOBILE ,,HOME S
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 '
i,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
5. Drain; MH Test -Fall -Flex Connector ,
6. 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 z
10. Cert. of Occupancy 1
' t
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1 t
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s ,
'
`-11. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails -
Y '4" Wood Awn.; Posts- Bea ms- Rftrs.-Cdnnectors� '
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 1 6- ' _
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card 8-1
V
IJ -OK
O=Not OK
= Not Applicable _RESIDENTIAL
= Not Ready
Date ° UND LOOR (Plansl OK except #'s
oning-Setb s -Easements -Flood -Slope `i�
2. Ftg., M ' ; Soils-Elec. Grnd.-/ /" Ftg. Depth.Q)e,jSt'!* V
3. Ftg., Is-Steel-Elec. Grnd.-/ /" Ftg. Depth "'p r
-qa 4. Ft ort s De Soils -Steel-/ /Ftg. Depth ,XZiY S/ lb
to alts, Main; Steel-Blockouts-Wrapped pjC Sf,
6W5fernwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
D.W all -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 -4%Z, Card B-1 V 99 Date Card B-1
Date Card B-1 Date Card B-1
Date LUMBING (Permit),OK except #'s
16. Water Htr.: Vent -Access bustion Ai IBaffle
--tutu-- -- -tutu-- -
- -
Water Pipe; T & Anchor-Nai oteyct�ion
13!�W_.V.; Test-Fitti s & Anchor-NaiYProtection
-� tutu--
------- -------------------
------------------
C.Gas
st Tub & how r, nd Floo Tub Access
-tutu-- Pipe: Si Ancf
--------------------------------------------------------------------------- -
Date &_ � '(„� Card B-1 (f Date Card B-1
-----g -----tutu-- --------------------------------------------
Date Card B-1 Date Card B-1
Date ELECT CAL (Permit) OK except #'s
xtur_e & Transformer Clea ante -Ins. Protection
23. Elec. Receptacles Sp ing_Lights & Switc--sat Doors - tutu -----
----
2 ize Boxes - No. of Conductors- tapled
2�x Installed Close toe/ZStud - - -
2 q
Eui Ground made up w/Wch Fner and Gas & Water - -
Appliance Circuts in Kitchen & Conductor Size/GFI
-------------- --------------------------------------------------
Subteed Wire Size ga. Cu or AI-A.C. Wire Size / ga.
Cu r Al
tutu ---tutu-- - --- - -- tutu- -----------------------
-------- --tutu-- -
--
ange Circ. ! ga. Cu o O n Circ. / / ga. Cu or AI.
Insulated Ne tral es- El No
----------- 3 ce-Riser Conductors & Ground Mat_ Disconnect
- -----------------
- tutu- --- --- ----------
-------------
-- -----
-- 3 Equip Clearances Panels Motors Mech.Equip.
--tutu-- ---------tutu-- -- tutu--------------------- ------tutu----
�32. rhes Closet Light -Shower Light -Spa Light
Smoke Detector
--------------------------------------------------
----- ---tutu--tutu------ ----
--^-.-�-
Date 2.y („ Card B-1 W Date Card B-1
.---- -tutu------------------------------------------------------------
Date -j )( K Card B-1 ()(3 Date Card B-1
DateCH LAICAL (Permit) OK except #'s
3 A.C. Ducts Insulation & Support
-------- -------------------------------------------------------------------
. Vent Fan: Exhaust above insulation
------ ------------------------------------------------------------- ----------
. Condensate Drain & Overflow: Size & Grade
---------- -- -- -- ------------------------------------ - ----- ----------
7. Furnance-Vent: Access -Comb r -Return Air Vent -115 outlet
-- - - - ----turn-- ----- -.o --- -
d. Attrcess & ifor Furnance in Attic
- - - ----------------
-
--- --------------------------- ---------------------------------------
Dat__
------------------------------------
D-a-tt-K
- Vp
__Card B-1 - Date ------ -- --- Card -B_1------_------
DatCard B-1 jX Date Card B-1
Date FRAM (Plans) OK except #'s
Sils. Proper Materi Anchors
3 ----------------------
Studs
-- --
Qi � -- ----------- I
-------
------------------------------
4 s Studs-Nailm Sp & Braci - laces -Sound
4 aring Walls over -- rs & Floor Nailing
--- ---tutu-- --- •------tutu---tutututu----tutu-- ----------------------------
4 r Stop in Walls (rat proof)
------------ --- --------------------------------------------------------------
4 ire Stops: Furred Ceilings -St firs -Chases -Tub
------------ ---tutu-- --------------------------------
Head Beam -Size earing
(Single & Duplex)
Date F ING (Continued]
- tutu
41
�an-gers-Post Caps -Anchors -Conn ctors
_. Cl oist-Ritr. ties-Purlin- Brac-T s-Shthng.-Rfng.
-- - Fireplace Ties o Flue- fireplace ThroaFeiMarance
4&.-*X-ttic Access; Size & Romex Protection -Draft Stop -Ins, Baffles
49 -Mm. Windows ci%l x t g Doors -Sill Hgt-.�Di rasions
51. Proper! ne Firewall & Openings
--- tutu-- _oo ie 3' -Check 6arage-3rd Story, 2 Exits
Stairs; Width -Headroom -Rise -Run -Landing Pu !echo
-------------tutu-- --
ywood on Roof Overhang -Attic Vents -Rafter Outriggers
-------------tutu-- ---
SLFx' g-Nai4a@,Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
hear.WvMs; Nailing -Bolts
4 59. Insulation -Walls -Ceilings
v - ----0.-Infiltration_Walls-Windows�-
Date . Card B-1 Date Card B-1
Date!?y3-9L Card B-1 /^_O, Date Card B-1
Date FINAL (Plans) OK except #'s
s
------------- s Door & Sideligh ection-La s
---------------
-- -'5m-oke Detector
-tutu -
6 . urnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meth. Protection
---tutu-- --tutu-- ----
6 edroom Exiting
65.-ArF"r8 Bath Fixtures.Frfub� Access -Spy/
--- - -- 66►Ht256. Trim & Subpan _ reaker Sizes Is
tutututu-------y--�fairs-i----
e Flireplace or Stove: Clear ces-He
Ggv fflec. Outlets at Wood Panel Int.
70,KiriFixt & Appliance; Grnd.-Air Gap_oking ClgAps'fice
------ -
71 -ere -c- Outlets & Receptaclec.aYK f. Counter --
7-- Duct in Garage -Damper/
r. Htr.; Vents-Clearanc o b. Air -C Hector- .
�u--
In Garage: Abbvehoor-Meth. Protectio
-----tutu-- --------tutu--
75,115_. Elec. & Mech. Equip. Listed f Location
------------------tutu-------------tutu-- '
- --------'-- -- c. erFG.F•l-,-_Pratectiori
------------------- ".F
7_ nsulation _Foam -Looked in Attic Yes
7a_6V-a_rd Rails & Deck Construction -Post Cag-s__
7gZ4 Vents & Crawl Hole Door -Drainage &mood -Earth
Clearance Looked under Floor LJW76s
------------"-�"---�-- �- ---
Eqjt avowing instld.: Drive s ❑ No; Walks ❑ Yes o:
Plant rs ❑ Yes No
- --tutu-- --- -- --tutu--
a . tyucco Brown -Finish
- a2!A.C. Unit: Disconnect. Electrical, Plumbing
------------------tutu-- - ----
8 nts Above Root: PI ppliance-Fire Clearance to
Openings
------------------------
84,-W-ater Well: Disconnect, Electrical, Plumbing
85-4E-fre-ii0r Elec. Trim: G.F.I. Receptacle -Underground -
8t. Ventilation Throughout House
----tutu--
- --------------tutu-- -
---
87. 11lass Protection
- - - - -------------------------------tutu--
a•. orre
--- -- - -ctions om Previous Inspections
- -- --- -- ------------------------
89. Gas T -Meters Tagged Gas -Electric _
90 -Ka -t Sewer Connected -C/9 -r6' -Grade -HD Approval- —
nergy Compl ante Certificate -Other Certificates
--- �u�u--
Date( .-fZ Card B_1� - -Date- -- _Card B-1
Date Card B-1 Date Card B-1 -
----------tutu- --tutu-----------------tutu-- —
Date Card B-1 Date Card B-1
Comments al Final:
"1
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (91.6) 891-2751,
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
- 9'Z
PERNI T NO_
A routine inspection indicates that the following violations of Butte County Ordinances east at
the above address and should be corrected. Please notify this office when correction at work
is completed. If you have any questions pertaining to this matter, or need additionalenplanation,
please contact tljits office immediately.
Date q- - Inspector
REV 11/91
t
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
ihf%% /z/7F1- 51
Ail4lEk l` PERMIT NO.
A routine inspection indicates that the following violations of4 tte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
6
0,1 chnc e r Q do " s et
Date 13� lC� Inspector. , (�D4
REV 11/81
Now WW
II
�i COUNTY OF BUTTE
" DEPARTMENT OF PUBLIC WORKS
F ` 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — 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 have an you If completed. p y y question pertaining to this
E; mater, or need additional explanation, please contact this office immediately.
�11�v'1�.l���! ��•-�• --v►ice
PAIIILr �
�wJ�l��/.���aairLl. �L��i�Cli��i•�'
1
i r
IMAM to 14
fill
• i (i I' ,
s:
Date r "t 2 Inspector() • I bgu
t.t \.{'.
ROOF
THIC',NcsS
T,iZRNAL RLS .
EXTERIOR ! ALS
MA'"NZRIAL FI3�3GL.\S': BRAND `NAME CERTaINTEED
THICK`; Ec` ,; THER,1AL RES
CEILING BATT OR ZLANKET TYPE-Fiber.lasBRAND NAME CERTAIVTEED
TRICK�tc THER,(aL RES. l�
LOOSE` FILLTiFE I_ CL -SAFE IIIBRAND WME CERTAINTEED
THICKNESS THERHAL. RES .
FLOOR, ELEVATED
MATERIAL FIBERGLASS BRAND NAME CERTAIYTEED
THICKNESS THERMAL'RES.
FLOOR, SLAB -_
MATERIAL BRAND NAME
.THICKNESS THERMAL RES.
. WIDTH
FOUNDATION WALL
MATERIAL BRAND NAME
THICKNESS THERMAL RES.
I HEREBY CERTIFY THAT THE ABOVE INSULATIO�t.WAS INSTALLED IN THE ABOVE
BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS.
HAWKINS INDUSTRIES INC. #622184
F n, Va,tV4N � 7 STATE CONTR. LICENSE NO.
I hereby ttie above insulation and all required items as shown
on the Building Depart. approved 'plans and attachments have been installed
as required by the State of California Energy Requirements.
'
All equipment, devices and materials are of„ -the quality prescribed or
are specifically approved by the State
of Calif.
' •`:
--------------------------------------------
FIRM 1AME/011NER (PLEASE PRINT)
------------------
STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF GENERAL CONTRACTOR/OWNER
DATE
t:
This certificate must be' on file with
the BUILDING DEPARTMENT. prior to .. _.
ft
final inspection approval and a copy shall be posted vithin the building. _
JANUARY
1984
•
'� Y y�l� L �• � �
F.”
�11'�i�fTi y '� `Y- �• �4f'�'.Ii'i�"i�"'"�'�fiT. +U"'�1tnr`hf;rT' �r T..l'rJ l�-?6•''�f'�w�sr4x-�,,�`_ .�:n.-� � •�'+f�1� :. ...� qtr �, t� +, ,� ,i .:,�i� ; • � e
COUNTY OF BUTTE - DEPARTMENT OF.PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT /APPLICATION DATA SHEET
OWNER &W- f�01U_6 37 41 C/
Proposed Building Use
Building Inspector
Date 51
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted. ....................................... .
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
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 .1 - t
w7Zineered truss details and layout in duplicate (required prior to plan check). .
Mobilehome a�jannd manufacturer's installation instructions, 2 set §.
Fees of
impact fees as shown on attached schedule. - cPncrr .. t�tc . /Low.scLi:�c( P"_
12. alifornia Department of Forestry plan approval/fees. .... ..................
13. Flood elevation letter (100 year flood by California Engineer. ............:. J
14 Sanitation and plot plan approval Health Department..-.:...r/...� . �� Yk,)
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). ..... .
Pre -Inspection request
20. Pre -inspection for required. . to Building Inspector SDale)
21. Contractor's license information. (No., Name Style, Classification) . ...............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ t
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . .........................................` �j f
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. . " .. .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ....................................... .
30. Documentation of 50% subdivision developeVor (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . .............. .
3a Existing violations/expired permits . ......................................
(3?� Plan check list . .....................................................
33.
34.
When you issue the
Telephon�_
Other
Parcel Creation _
Acreage
follows: Mail ta o ne . Mail to contractor.
hold for pickup of " office. Deliver with inspector.
Applicant
Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitte ri t nri t ' ance: (Circle new, item not checked above).
1. Index permit for above items No. / / " / C--
2. Additional items required: t
Contracto designer owner, was advised of above required data by ✓ phone _ mail Counter by lsw Date s1)9J 9Z
Contractor, designer- wne ,was advised of above required data byhone _ mail Counter by ,.Date 5 Z
�
Plans checked by Date 04 Plans approved by Date 92
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
TO Buildina Department
FROM: Environmental Health �
SUBJECT: Sanitation Clearance
4L 44 4-v %!M e Z Dr, /r 37 –.3
-' Owner Location —Apt
—
Plan Approved for: Sewage Disposal
Hold final for:
Final clearance O.K. for:
Clearance for bedroom mobile home. Other
Water Supply f
Water Supply
Water Supply
NOTE
Zvrt� e• Q . 5/92 ..
San tarian Date
/ L
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 05066 - Telephone: 916,'636.7641
APPLICATION AND PERMIT
PERMIT NO.
92-1479
A96 00ZONING
056-370-003
TM 5
BUILDING PERMIT
OWNER
ALBERT W. & MARIE MARTINEZ
T6 L EPHOWE—
873-2967
SO. FT. OCC. BUILDING VALUATION
1212 R 61,812
OWNER'S MAILING ADDRESS
14725 BRIDGEPORT CIRCLE MAGALIA 95954
96 0 672
CONTRACTOR'S NAME
UNKNOWN
TELEPHONE
�F LC7
11/. 2L
0 20 X ,800
(M/R)
CONTRACTOR'S MAILING ADDRESS
Fireplace "Alt 1,500
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
86,78
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$ 539.00
ARCHITECT OR ENGINEER
PHIL WARD
LICENSE NO.
295100
Plan Checking Fee
$ 209.50
Energy Plan Checking Fee
$ 20,00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
SKYWAY MAGALIA 95954
Penalty
$
BUILDING ADDRESS
5667 ROYAL DRIFT WAY FOREST RANCH
Permit tee
$ 843.50
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
7 1 .5-001 35.00
Solar or heat pump water heater
1 1 20-001 20.00
LOT NO.
6
SUBDIVISION NAME
PARCEL MAP
85-18/20
Water piping
1 7.00 7.00
Each pas water heater or vent
7.00 7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00 19.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
NewLX AdditionU Remodel❑ Utilities❑ Installation❑ Other ❑
Describe work: _ ADD 94 X 74 TO FXTRTTNC, RTRUCTTTRE _
AND CONVERT EXISTING GARAGE TO TRIFT T TNG
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
i
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.
License .Jo. 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)
F$J 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
Main service 200A OR LESS
18.50
Main service 200A TO 1000AI
NEW CONST. ( DWELLING OCCUP.&)
OR ADDNS. ACC. BLDGS.
_37.50
3.6asq.ft.
NEW CONSTR. ULTI.OUT LE
N•R ESI D•
NO BRANCH CIRCITS
@ 5.00T
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. OCCLIP(OUTLETS OR FIXTURES
20 76d
EX. Occup. OUTLETS ((RE51D.)FIXED APPLNS. REA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00 15.00
Permit Fee
$ 67.50
-
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
DUCT
9.001 9.00
Cooling
g
Hood
6.50
Ventilation
4.501 4_.50
permit Fee
$ 23.50
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 Countyof
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
afl liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X kt %,_ g,'�
Date
Signature of Applicant - caner R1Contractor❑ Agent ❑
An over 5'0" deep and demolition or construct-
on oOfSstruHA c urestoveris r3gstoraesoiuirefr n height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 40.00
Occ
CONST TYPE
TOTAL FEE $ 1.078.50
HAz
OFE
IMP
FLOOD
CDF
PARCEL
PO
HO
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DI C OR PUBLIC
By
PER IRS Date
applicable provi-
resolutions to do
have been aid.
WORKS / p
Dat j ZZ- 9
Z. Q�
6
Receipt NOA16 Z
WHITE-D.P.W., YELLOW -ASSESSOR. Pi -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916 '538-7541
APPLICATION AND PERMIT
ASSESS R PARCEL N MBER
D
Z ING
BUILDING PERMIT
D A r
Eo
i
SO. T. 0 BUILDING VALUATION
o;7ER•sM,A IJE.,O I ESS r / r
CONTRACT R'SNAMU
TELEPH JVE
CONTFrACTOR'5 MAILING ADDRESS
•
Fireplace /Y
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 1 , 0
Permit Fee
$
A E GINEER
:99
RA
LICENSE NO.
Plan Checking Fee
Energy Plan Checking Fee
$
$ r(go
A CHITEC ENGINEER'S MAILING ESS
S�� j C
Penalty
$
DIN ADDR s r
r
Permit fee
PLUMBING PERMIT
Filing Fee 15.00
I
Each Trap
5.001
Solar or heat pump water heater
I 20.00 O
LOT t/�O.
!//�O
SUBOIVISIONt E
P4RCEL MAP
Water piping
7.00 7f at9
Each qas water heater or vent
7.00 '
USE O STRUCTURE
S FX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S G W
@ 15.00
TYPE OF WORK
Ne �� Additio Remodell_; Utilities Install tion 0 er ❑
Describe work: o�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
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 BUSIneS$
and Professions Code and my license is in full force and effect.
License .Jo. 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
Main service 20CATO1000AI
37.50
DWELLING OCCUPM
NEW CONST.( ACC. BLOGS.
OR ADDNS. /
3.6Qsq.ft.
NECONSTR. ULTI-OUTLET
NON-RESID BRANCH CIRCITS
@: 5.00
POWER APPARATUS &)
(SINGLE OUTLET cIR.
Ex. Occup(OUTLETS OR FIXTURES
RAO 75d
FIXED APLNS.
Ex. Occup. OUTLETS PIRESID,IRE A.')
I 3.00
Temporary service
1.15.00
Mobile Home Facilities
15.00
Misc. Wiring
9
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.
14! 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
FiIingFee 15.00
Heating
Coolin g
Hood
6.50
Ventilation
G
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any ay a crus
against said County in consequence of the granting of this permit.
X �Ul�,>Za� Date 7i
Signature of Applicant — ner� Contractor ❑ Agent ❑
An OSHA
ion of structuresover3 storiesinheightf ions over 5't)" deep d demolition or construct-
ion
Mobile Home Installation Fee $
Energy Inspection Fee $ Vo t
OCC I CONST TYPE
TOTAL FEES
MA( OFEES
IMP
FLOOD
CDF
PARCEL
P
HO SSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No s N C[T—
WHITE -O. P.W„ YELLOW -455L 930R_ PINIc-I9POw
COUNTY OF
BUTTE -
DEPARTMENT OF PUBLIC WORKS
- BUILDING.DIVISION
7 COUNTY CENTER
DRIVE -
OROVILLE, CALIFORNIA 95965
- TELEPHONE (916)5387541
OWNER / " C� A. P. NO.
PROPOSED BUILDING USE A]/V :tZO;��7 DATE
REC. #
1. School Distric Fees
(paid at District Office)
2. Sheriff Fees
(paid at Building Department)
Residential ..........
Commercial(per sq.ft.)
X =$
unit amt.
X =$
sq.ft. amt.
3.. Urban Area Fees
(paid at Building Department
Residential (per unit) X _$
# units amt.
Commerical(per sq.ft.) X =$
sq.ft. amt.
4. Recreation District Fees
(paid at District Office)
5. Drainage District Fees
(Contact Land Development) ........................
6. Other
7. Other
DATE REC
At time of permit application, I was advised the above fees are required to be paid prior
to issuance of the permit.
APPLICANT DATE
� .;.,+� ,, +=,��t.r=r" v . • `, .•.,�•,,�.•'Yv-: r..��arr,+'�✓'`--irri.:�r-�=:•.— i �<<..,v �c,v-.i� a a s �, §�;
- i
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School District l�V175% L) _ — _ _ _ Building Department No.
A.P. Number 576___�Z?-0-03 Jurisdiction (_J City County
Property Owner F(pie-z--
Property
z- .Property Location/Address 5-66 7.__GQQya( ID j rf W9 e
Subdivison
Residential Development
Commercial/Industrial
Building a artment Rep
Lot No.
= V06ro
No. of Living MHI GpurtR,;io.J Addition
Units ��Y� 12Y
0
New Addition
ive
v (Floor Plans reviewed by School District Personnel)
Sq. Footage2
(Group.R)
Sq. Footage
(Including Exterior
Roofed Areas)
6�/118 92.,
Date
District Identification'No..
h(D� School District certifies that r�4
(Applicant)
(Street Address) (Phone Number)
(City) (State)
(Zip Code).
has complied with the requirements of Resolution No. _ 4&&-91 by payment of $ 3 %/(D• �tC'
representing Q 6 a .. ... — square feet.
School District Representative Date
Paid by Check Number Remarks:
Bank Number
Paid by Cash
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92)
RESIDENTIAL PLAN CHECKING GUIDE 8/91.
(S.F., DUPLEX & MISC. ONLY)
Bldg. Permit #
OWNER A.P. # 615k -370-4d3
` Plan Checker_
GENERAL
"1. Zoning requirements: (sideyards and number of permitted living units).
-L. Valuation.
a:" Plans signed by designer.
-C4> Proper description of work on application.
-�` Existing violations on property. sc �
6. Items on data sheet. (W.C., fees, Health, Developer Fees, License.law, etc).
ecorded notice of violation.
PLOT PLAN
'- Complete parcel size and dimensions.
'2 -__--Setbacks, sideyards, easements, etc.
.''Other buildings or structures.
^—. Grading, fills, drainage.
--5-.—Flood hazard.
Special conditions. on creation map, (noise, CDF, fire sprinklers, non=comb-
ustible, and foundations).
7�--'FAU & FAS road setback.
-8�Building or utilities across lot lines (Record form).
FLOOR PLAN
4-.-__ Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1205).
---j Required windows for second exit (Sec. 1204).
G4 --'__Skylights (Chapter 34 & Sec. 5207).
cS�Human impact glass (Sec. 5406).
�6_ 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
r gas equipment.
Garage firewall, door size, and closer (Sec. 503(d)(3)).
1 - 3'0" exterior exit door (sec. 3304 (f).
1-2
Fireplace and wood stove location, alcoves, and clearance.
rZ. Smoke detectors (Sec. 1210).
,,-T'4. Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
C'I Standard bracing or engineered design (Table 25V)
i2!~Unusual shape, size, or split level house requiring lateral design.
clerestory requiring balloon framing and/or engineering.
h-ree story building requiring engineered calculations and,plans.
Foundation plan complete enough to construct building.
,fa -'Floor construction details complete enough to constructrbuilding.
Elevations and wall construction details complete enough to construct building
r -$Roof construction details complete enough to construct building.
-9` replace construction details and talcs if necessary.
wafter ties or bearing ridge beam.
ld'I Garage door or porch header sizes.
Stud heights.
dobe soils - special foundation design.
�YRetaining walls requiring design.
--I- �-Special Inspection required.
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS
ITEMS TO
LOOK OUT
FOR
Stairway
details:
landings,
rise and run, head clearance, handrails
Se.c . 3306) .
Guardrail details (Sec. 1711 & 3306(j.).
3 -.--Brick or stone veneer (Chapter 30).
--4---tterior plaster - weep screeds (Sec. 4706).
'L-S!Proper roof pitch for roof convering (Chapter 32).
,k!9oof covering type - (fire hazard).
—�—Foam insulation - protection.
�8_ 36" halls and stairways.
—Y Living area over garage - complete 1 -hour separation required
including supporting walls and posts, etc.
`T Two exits on three-story dwellings (sec. 3303 & see Mezannines
--rr�A_ttic access and ventilation (Sec. 3205).
rf loor access and ventilation (Sec. 2516).
8/91
on garage side
- 1716).
Combustion air for fuel burning appliances - L.P.G. requirements.
1� oise requirements on duplexes.
1 = nergy design.
i_ -H. Flashing at all exterior openings.
17-CDF responsible area requirements.
Stc,22 4-1. o/c
OT) P�Al
s
7 � i
'}
r
.�
•
�
ADDITIONS
TO RESIDENTIAL BUILDINGS
ENIMGY SHEET
PACKAGE "A" (Additions);
.i Owner A. MAP_ -i) Q E Z
Climate Zone 1 I -
Permit # CfZ- 1479
Floor Area Z31 �,f�UlnoN
CONvE2S10N,OF
_
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 atticconversions,
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
ZONE 16
APPLIES _TO ,NEW AREA
CEILING
R-30)
.R-38
WALL-
R-11
=R-19
FLOOR
R-11
R-19''
SLAB
R-7
R-7
GLAZING
U-.65 (Dual)
U-.65 (Dual)
SHADING
SOUTH - OPTIMUM OVERHANG
or .36 Shading Coefficient
WEST - .36 Shading Coefficient,
LOOSE FILL INSULATION (Density) t
DUI (-Of 0 G I S e
Elul Ano N AMIE Z0o0 -
(S HEADOG LOITH
W Oct 0 tteAT ONLY(
INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking)
VAPOR BARRIER (Zone 16)
DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10
LIGHTING KITCHEN &-BATH_NOT-LESS-.THAN-25 LUMENS -/-WATT
IFH�MMUM 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
12/85
® DESIGN COMPLIANCE STATEN.: The above building design meets the requirements of
Title 24, Part Z. Chapcar 2-53 of the California Administration Code.
I1C:7ATURE OF 3UILDING DESIG21ER OR PLICa+YI
*1
HEATING, VENTIIATING, AIR CONDITIONING SYST`4
(A) Heating
'
❑
Central Gas Furnace - %
(brand and model number) SE
Btu/hr
(heating capacity)
❑
Heat Pump
"
(brand and.modal number) ACOP
Stu/hr
(heating capacity at 47"F)
Q
Active Solar
cype (liquid or air) Collectr brand and
ft
modal number solar fraction- collector area collector
�(
orientation collector tilt raced y-incercepc -
Hraced
slope - -
Q
Other -
(describe)
*l
(B) Cooling -
❑
Electric Air Conditioner
(brand and model number) (seasonal EER)
=Btu/hr _
(cooling capacity at -95°F) '
Q
Electric Heat Pump -
EEM
Btu/hr
_
(cooling capacity at 95°F)
Q
other
_. (describe)
DCM=IC STATER SYSTEM
❑
(d) Gas Only Gallons
(brand and model number) (tank size)
0
Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
Q
Active Solar
(collector brand and model number)
(rated y-incercepc) (raced slope) (solar fraction) 2
ft
(backup heater type, brand and model number) (collector area)
(collector orlentacion) (collector tilt)
❑
Ivcatioc of Solar Panels
❑
Other
(Describe)
*1
Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or ocher approved machods, section 2-5352(g), and fill out the
following:
Heating: Winter design camperature °, elavation ', heating load BTU
elevation factor x heating load maximum outlet capacity gas furnace
BTU
Cooling: Seamier design temperature ", cooling load BTU
*2
Submit T.I.P.S.E. chart'or ocher approved syecem (form *5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEN.: The above building design meets the requirements of
Title 24, Part Z. Chapcar 2-53 of the California Administration Code.
I1C:7ATURE OF 3UILDING DESIG21ER OR PLICa+YI
t
' t
s
R OENTIAL
-- 93-1231 B,E
056-37-0-003 Marie
MARTINEZ& , Albert W Forest Ranch
W
5667 Royal Drift Way,
(neva garage) -
t g/g� -
V= OK
O = Not OK
Not Readyable 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 -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/_ /Amp -Concrete
6. Gas; Location -Teat -Wrap: / /"Vft.
/ /"Net. or/ P'L"ft./ /"LPG
7. Well Clearance & Disconnect
B. Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plans) 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
5. Drain; MH Test -Fell -Flex Connector
6. 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 DECK OVERS CARPORT OK except #'s
L4002oning R rements-Setbacks-Easements
ngs; Soils -Size -Depth -Spacing -Connectors- t X
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posta-Beams-Rftrs.-Connectors
Shthg :Rfg.-Bracing
5. Alum. Awn.; Columna -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
1_74n_173 013
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=OK
0=1*3tOK
- = 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-/ /Fig. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
Be. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fell -Fitting -Test -2 Way C/0 -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -teat
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance -Materiel -Support -Ina.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date/Initials PLUMBING (Permit) OK except #'a
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nall 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 -Ina. 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/Meth. 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 ❑ 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 #'a
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 (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
Date/Initials FRAMING (Continued)
45. Hangers -Post Ceps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin=roof Brec-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ina. 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
58. 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 FINAL (Plans) OK except #'a
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. • Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door, Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Meth. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door-Draina e & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearence to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comments at Final:
% COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
056-370-003
ZONING
TIN11-5
BUILDING PERMIT
OWNER
Albert W. & Marie Martinez
TELEPHONE
894-5469
SQ.FT. OCC.1 BUILDING VALUATISk
Q
80 "f 0•o0
--4-OWNER'S MAILING ADDRESS
P.O. Forest Ranch 95942
AU
CONTRACTOR'S
StAliss
TELEPHONE
CONTRA TOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total valuation 1 $8,640.0
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$ 90.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 45.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit tee
$ 150.00
PLUMBING PERMIT
Filing Fee 15.00
5667 Royal Drift Way, FLorest Ranch
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAMEPAEf�RC`EL
MAPF)
rJ: 0
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other Garage
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home JSFG W
@ 15.00
TYPE OF WORK
Newer_. Add itioniJ Remodel❑ Utilities❑ Installation❑ Other E]
Describe work: rarq2a _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50
Main service 200A TO IOOOA)
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)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.9Ts
OR ADONS. ACC. BLDGS.
3.60 sq.ft.
A 17.00
NEWCONSTR MULTI -OUTLET
N ON.R ESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS &)
(SINGLE OUTLET SIR.
Ex. Occup(OUTLETS OR FIXTURES
20 @ 76-i
FIXED APLNS.
Ex. Occup. OU ETSP(RESID )REAJ
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
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.
FJ 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
FiIirig 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 tt'7_ �1— 9.1
Date _,
Signature of Applicant — Owner R �antractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep an demolition or construct-
ion of structures over 3 stores in heig t.
Mobile Home Installation Fee S
Energy Inspection Fee $
0C,;�9NT%YPE
Ij �V
TOTAL F 182.00
I JH
Az
OFEES
IMP
^
FLOO
CDF
PARCEL
PD
H
Iss E
This permit is hereby issued under the
sions of the Butte County Code and/or
ted above for hich fees
DIR PUBLIC
wordillfiRtS
BY
PE Date77
applicable provi-
�
resolutions to do
have been paid.
WORKS p�
Date
%-
DD J �`�/ OJ - 'Z
Receipt No.,,C�F v
WNITC-D.P.W., YELLOW -A f.SSOR, P NK -INSPECTOR, GOLDENRO PPLI CANT
COUKTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PERMITAPPOCATION DATASHEET
OWNER 22 X0 *12 A. P. No._S4 4 - 3 7 - 0p3
Proposed Building Use A\ -c 4e- Building Inspector �_ Date
At time of permit application, I was advised the following data. -must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1 All items have been submitted.
— y 2. Plot plain 4 sets, an�reparer of plans. ...... �....................
3. Complete plans, 3/4 sefs; signed by preparer of plans . ...................... ✓' , l
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. J
5. Hazardous Material Form . ..............................................
. _ 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 $ ��% %" .. . .............................. _ .... .
...
.. ...... .
11. Impact fees as shown on attached schedule. ....... . -
12—California Department of Forestry plan approval/fees. ....................... .
/13. Flood elevation letter (100 year flood) by alifornia Engineer . ..................-
7 14. Sanitation and plot plan approval G��Lo 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). ..
Preanspedion requeis-
20. Pre -in spection for required. .. to B.,,d... Inspedor (Date)
21. Contractor's license information. (No., Name Style, Classification) ................
22. Certificate of Workmans Compensation Insurance . ........................::�
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. ..... a
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 . ...............
'Al, . Existing violations/expired permits . ......................................
. Plan check list . .....................................................
33.
34. i
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other ti
Parcel Creation
Acreage Applicant
Date S- '�- 915
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to
1. Index permit for above items No.
2. Additional items required:
not ch
p.P GC
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 a Date Plans approved by 675, Date S�
` Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
F
Hol Pkai Attached
hl�ua 1'l Alta I
Sint to 11. U. /
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Loc tion
Plan Approved for: Sewage Disposal Water Supply: Public _
Clearance for bedroom mobile home. Other
Hold final for:
Final clearance O.K. for:
NOTE
Environmental Health Specialist'
8/92
JZ -,?7 - .-?
AP#i
Private Well!
�-7-?j
Date
4
J
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
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 major labor and materials for construction of
the proposed property improvement (yes or no) =
2. I (have/have not) Ae___, signed an application for a building permit
for the 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 License No.
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
Social Security Number
Date I-- :Y- 9:3
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. g
J HILL ENGINEERING
STRUCTURAL • CONSTRUCTION
SHEET 1 OF 3
MAY, 1991
BUILDERS SUPPLY
7015 SKYWAY
PARADISE, CA 95969
DESIGN CRITERIA
The subject of these calc's is a Partial Structural Design for Lateral loads for a
Garage building
of conventional wood frame construction.
CODE 1988 UBC
�. •..._'
Loading: Roof - DL = 15 PSF
- LL = 30 PSF (SNOW)VA
r
11 ((t�
1Il
WALLS - DL — 10 PSF
.,
�� l' i'fi
"^�M11a.�
WIND - p = CexCgxgsxI - 80 MPH, EXP: B
�Jt '' �
.7x1,3x17x1.0 = 16.47psf - to 20'
_ .8x1.3x17x1.0 = 17.68psf - to 40'
SEISMIC - V = ZICw/Rw - ZONE 3
_ .30x1.0x2.76w/6 = .14w
MATERIALS
LUMBER - 2X & 4X Members - D.F. #2, Fb = 1260 psi except 2 x 4 studs -
ST. GR., Fb = 800 psi, 6 X & > - D.F. #1, Fb = 1300 psi @ BMS.
& Fb = 1200 psi @ Post, U.N.O.
PLYWOOD - APA U.S. Product Std. PSI 1-83
CONNECTORS - Simpson Strong - Tie Noted (or equal)
A. & M. BOLTS - ASTM A307, Unfinished
CONCRETE - Ult. Compr. Strength - f'c = 2500 psi @ 28 days
REINFORCING - ASTM A616, Grade 40
ALLOW. SOIL BEARING PRESSURE -1600 psf
3569-D Connie Circle • Paradise,. California 95969 • (916) 872-1261
j
J BILL ENGINEERING
3569-D Connie Circle
Paradise, California 95969
(916) 872-1261
JOB
SHEET NO. `S/ OF
CALCULATED BY v DATE
CHECKED BY DATE_
srei c
J FALL ENGINEERING
3569-D Connie Circle
Paradise, California 95969
�✓ (916) 872-1261
L
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J HILL ENGINEERING
3569-D Connie Circle
Paradise, California 95969
(916) 872-1261
JOB iPEON i /41riL L-Tr¢��`!r`
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COUNTY- OF BUTTE
BUILDING DIVISION
. t. .a
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
'.Y
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER a PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If wave any questions pertaining to this matter, or need additional explanation,
please co t this office immediately.
-� _ _ _ _. --A- 1 w
__Date
REV 1W
;1r
Inspectorl
s
OWNERS NAME: A4o I c RECEIVED BY: DATE: l$ 4
A. P. #'U _ J16 —6o 3 PERMIT #Q3— 3 TIME:
�RESIDENTIAL NON RESIDENTIAL RECEIPT #
------------------------------------------------------------------------
REQUIRED PRIOR TO PERMIT ISSUANCE
FROM DATA REQUESTED BY PLAN CHECKER ENGINEER G
a `
OTHER
REQUESTED BY CORRECTIONYES NO ITEM: 14Ssm,--o _
LOCATION IN BUILDING WHERE CHANGE OCCURS: /2-�� i7,QuSSr
WHEN APPROVED, PROCESS AS FOLLOWS:
Mail to owner
Mail to contractor I.
Call and hold for pickup at the office.
Deliver with next inspection.
REVISED PLAN CHECK FEES PAID:
1
E� i1o.00 $40.00 V Additional Fees Not Required y
job: 0 / 29094 REPAIR
THIS REPAIR TO REINFORCE TRUSS FOR MISSING PLATE ON ONE
DACE OF TRUSS AT JOINT WHERE SHOWN.
RJ
'DjOTE: SEE DRAINING CAVSR427 90156020 FOR LUMBER, PLATES
AND OTHER DATA NOT SHOWN HERE.
AFTER COMPLETION OF REPAIRS, TRUSSES MUST BE INSPECTED BY
THE TRUSS MANFACTURER OR LOCAL BUILDING DEPARTMENT TO
/ASSURE COMPLIANCE WITH ALPINE DESIGN AND SPECIFICATIONS.
THIS ONG. PREPARED F610M COMPUTER INPUT (LOADS 6 OIMEN5[0Mj
'`NAILS- 0.131 "x 1.500' TRUSS NAILS (8d COMMON) . C
*NUMBERS SHOW NAILS REQUIRED IN TRULOX ON ONE FAC
SEE DRAWING 142 FOR TRULOX INFORMATION,.;,:
BUTTE
t1w] L01
p V E D
uvm" G )Vrrvmiz
A -1240N WK3"8
L I I Tr.— A rAIVC t V
r
IMPORTANT*WLPJKi. m '
WARNINGi1;
o r7 0 o t=
1»,BER�ESPrseL�u
HL43LL-.W`��Fmu`nM
C=) C
DEKEATI ON FROM THIS GESIGI OR 111EIE SPEC IF ICAT IDMS. Ga AW
ACIHO_
BM SEE HIS -91 8f TPI. SEE THIS CES{U9
C= CS C=
FAILAPE TO WILD 1N[ IPM 111 CGOWMtAOC6 ■ITT DSTOS 8/ TPI-
FDR A001.11014L SPECIAL PEK"LEMT 8RAC11A: PE
Q= [=3 CM O
JILPIR CCIDKtM APE WDC OF MA OILY. SCEOL HEEIIII•I %SIN
oYIPERINTS totm OfIEOKISt 1101CAIM TW
C [� o I=
A468 GR 8 EXCEPT AS DOTED. LPPLY CONECTUS TO EACH FACE OF
CNOM SMALL EE LATEMLLT SPACED KITH PDOPER
p A N 1 1"1I
TRAMP Ab CRESS OIKEAYISE I.CCATW CH THIS Dig I6El POSETIOII
1T AMC ED PIlWWO SIELTNIN6. MICR CHORD
0 F►Lr i 1`I O
CQPEC1045 M rAWInGS 130. 150 It ISOA-S. DMIGIA STIMMOS,
MN PROPEILY ATTACKED R76:D CEILEI& -- SEC
Tn �+
ROSS �
MrIOPH N/APMICASIf PFRYISI" OF 10S C TPI. AK DAMAMI'S
APPL;15
LLPIIIE TECIMICAL U'O41E II/1/OII FOR PAUPER
OO ,TRUSS
C O, C� C7 C� C=
SEAL DN 1815 OP/KNr i0 IME CDI-OOEHE DCPICTFO IEDE
III OMIT' AI0 SHALL HOT OE FELTED to' M IN ARI OIAER 7141.,
UBTKAII LPPL1GfiOV FLR115N A COPY OF 7H{S
Df9C6M TO THE TPL/55 fPECIIOf/ CDtOALCTCR.
•--TPI - 1RIS5 PLATE INSTITUTE. 109 - 1591 8411IONAL DESIGN
S--ECIFICUIOK FM KODD CM.STOLtmir
R=12400 W=3"8
f
ME v
1 / . CIl D1.ALC m
OQROF
TC LL
30.0 PSF
REF R427--2
. CI
OL
10.0 PSF
DATE 04/i
yto
DL
5.0 PSF
ORW 3.049. I
16 COd3IR45
_
LL
0.0 PSF
CA -ENG FM G
t. abD/
T.LO.
45.0 PSF
/VILA"
R.FAC-.,..1_..15,
TPAIIInA1���
SPACING -
24.0' 1
f
JDD: [) 1 29094 REPAIR
THIS REPAIR TO REINFORCE TRUSS FOR MISSING PLATE ON ONE
FACE OF TRUSS AT JOINT WHERE SHOWN.
'NOTE: SEE DRAWING CAUSR427 90156020 FOR LUMBER, PLATES
AND OTHER DATA NOT SHOWN HERE.
AFTER COMPLETION OF REPAIRS, TRUSSES MUST BE INSPECTED BY
THE TRUSS MANFACTURER OR LOCAL BUILDING DEPARTMENT TO
ASSURE COMPLIANCE WITH ALPINE DESIGN AND SPECIFICATIONS.
L
THIS ONG. PREPARED FROM COMPUTER INPUT (LOADS 6 DIMENUORS} SUBHI*ts_e
NAILS: 0.131"X1.500' TRUSS NAILS` (8d tDMMDN)-: -CIRCLED
NUMBERS SHOW NAILS REQUIRED IN-TRULOX ON ONE FACE: -SEE'
SEE DRAWING 142 FOR TRULOX INFORMATION. s-= -
o _ 1v
DEPART 4 L.�Y
BUILVI;
k
p" VEu
6
R=1240# Ww3`8
"= C= L7 D C7 G
M,=3 o 0 0
n.= o 0 0
¢. 1= O O
o rmALPIN o cm
0
o TRUSS
o C= o o = 0
uvc" C ovrrum 1 J
TETE jMPORTANT)E![SKu Ani BE RREESPa tBLLEFOOR mr. WAFiNINGir'bHLRX..1 c FQECFIOH Ciqr
W
IOEOMIOH FROM THIS GESIG9 OR INEGE SPECIFICATECHS. OR Atli MUC163- SEE HIS -01 81 TPS. SEE THIS CE5159
FARM SO WILD TME TPLIFS IIS =WCPDAAIICE ■]Ti GSTBB B1 TPI. FOR A90I1101AL SPECIAL PEWSAIEW BSLL:VK RE
ALVIK CTAMTGRS APE HIDE OF E09A GAAP. SIM. IEETOb ASTM OBIR:HEIAS STAMM OTNERMESC IID1dSEA. TOS
AAAS GR 8 EXOEM AS DOI(D. APPLY C0114CTC9S TO EACH FACE OF MAD S ALLL BE LATESLALLT BRACED MRH POOPER
TAMP AND IKESS 0111EIVISE LOCATED DH THIS V.S1611 POSCTIMI IT ATTACHED PSYIMOO SHEATMNIG. BOTTCM CHOM
CQPECTS15 PEV GA mlms 13O. 150 C MI -F. =IGU STAIDL205, 41TM POOPEiFLY IMAMS) RIE:D CEIL114 - SEE
COVFOPH WAMtICASLE PF0%ISIO"S OF 1OS C TPI. A9 EPMEM'S LURE TCOHICAL UPDATE 11/1/911 FGR FftKR
WAS. ON THIS OPAMIM AMUS TO INE C>wNOCH; DEPICTED WM GRIML APPLIG1E104 FLY►115H A COIN GF THES
SH OAAY. AID SHALL MTT BE MUSED W M IN AIH 914ER NAT. DE916U TO SHE TPUSS EPEGIIOIA COMPACTOR.
R=1240# W=3"8
�4�pfF TC LL 30.0 PSF
W c'yp�
C OL
10.0
PSF
yto
DL
5.0
PSF
cDa38os ;
LL
0.0
PSF
k Qb➢I
T.LO.
45.0
PSF
'droll
R.FAC.
1.15
tf=S MFR.
w
0
a
Ia
a
CD
t - u . e:)vu
17--25176
OA/15194
049. 148
FM &
73i. l3 G
is "
lexr ,To uk /
A setback of ft. fror
��rdM / p��ffylines;anda
M % of 54ft. from the roan
centerline shall be clez., of
Ji tA I V3Z ThcN19yr4A
% ac / ' 1 structures ore,Juipment excer?
�---- L��
for a 2 ft. eav 4 ov
I - I erhan�.
i
SCE 'Cou TY
rc BUILD DEPA TMEN
APPROV E
�I
i
' W 1
e
o
}
_M.- ,A)l Wailes R Workmonsh p Shall E.:
cotdanee wiA Reeognhed Good Practices an::
o o e ta► er'iW for the Specified use in the
iform F'%bing & Machanical Codes and
+ , NOHOW Bee teicd1J Coda..
i
This yet est plafts'and specif'icatio� ctn awfu:`
kap+ on the job at ON Mmes and it .
makq any ehsrnges,or alterotlens on same withOu
written rkspermission"ffl the Dey�artment of publrac
wo, Canty of ILdf*4
01
• 1 I
Pr- Mesh Y
!Sn
5" c
A1.c[ n 1
C Le
Q�Si�aNCEr Nlr� M_v,—��Grf MAR-iIVcZ
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