HomeMy WebLinkAbout058-210-095i
D
58-21-95
Lewis Wilson
t S pri.dirt rd.,app.3/10 mi..W.of
Birgg�Bend -Rd.,app'3/10"Ei.SE of
PulgaQY-d*, Big Bend
Permit #1228-81B,P,E,M(new single
family)
2
58-21-95 6 ��
Permit#3944-8 (solar water heater)SF
58-21-95
?e miti469-83B(lst renewal/1228-81)SF
58-21-95
Permit#2577-84B,E(new private p991)
- 58-21-95
Permit#2567-85B(lst renewal/2577-84)
FNELS70NJAMES
02-1533
89 WIND RIDGE DR., OROVILLE
CONT: DUANE WILK
GAS LINE FOR STOVE,
00
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6 W.91
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i PERMIT NO. �: It 2577-84B,E
PERMIT EXPIRES
OWNER LEWIS WILSON,'
CONTR. owner
ASSESSOR PARCEL 58-21-95
LOCATION S/S pri dirt rd, 3/10 mi W Big Bend
Rd, 3/10`,nii"SE Emogwamd, Big Bend
p L,f_ n c zJ c5 t L. s� p lzlr
� C '-,f,�--(1 '%' � O l6'if•`ir ��.% � LSIZIC.."
00 S
d
i
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
J.= OK
0` = ' Not'OK
= Not Applicable MOBILEHOMES
= Not Ready
r n i r t r ♦ e (i0
1 •M � i
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. ;(Plans) OK except #'s
1. Zoning Requirements-Setbacks=.Eosements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs�=Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
y
POOLS (PI ns) OK except #'s
Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
oils; 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
f
9. Health Department Approval
i
10. Plumb; Cir. Test -Water Supply Test
02
Card B-1
Date Card -BI Date
'Card -BI
Date and -BI Date
Card B-1
Date Card -BI Date
!Card -BI
Date Card -BI Date
lld�3-tz�
S
W
J = OK
0 = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
* = Not Ready
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
7. Piers -Fireplace Ftg.-Steel
53.
54.
Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except q's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except N's
14. Water Ht.; Vent -Access -Combustion Air
57. Smoke Detector
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
18.
Shower Pan; Test, First Floor -Tub Access
Test Tub & Shower, 2nd Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
63.
Stairs & Rails
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELECTRICAL Permit OK except q's
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights & Switches at Doors
70.
Plb., Elec. &Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
72.
Insulation -Foam -Looked in Attic ❑Yes
73.
74.
Guard Rails &Deck Construction -Post Caps
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
25. 2 Appliance Circuits in Kitchen &Conductor Size
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes El No
75,
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters Oyes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
77,
Stucco; Brown -Finish
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
29. Equip. Clearances; Panels-Motors-Mech. Equip.
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Perrnit) OK except q's
31. A.C. Ducts; Insulation & Support
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/0 to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMING Plans OK except N's
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
43.
44.
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp_.-Rfn_p_._ _
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Battles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMITcUO.- -•e
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC.1 BUILDING VALUATION
i
t
n
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ J.
ARCHITECT OR ENGINEER 1 1LICENSE
NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ t
BUILDING ADDRESS t
)r { i
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
11
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
-{ I .'_
SF ❑ Duplex ❑ Mobi lehome ❑ Other ' � '
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00e
TYPE OF WORK
New Q Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&`
OR ADDNS. ( ACC. BLDGS.
I 2/20sq It
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
Q I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-(
ors. (Sec. 7044)l
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NON.RESID R BRANCH CIRCTITS 2.50 ea
NEw CONSTR. /POWER APPARATUS &
NON.RESID, (SINGLE OUTLET CIR.
Ex. Occu / 20@501
p(o Ts OR FIXTURES BAL030Q
FIXED
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
,
fit r- ��1 1 1-\ -Ute
Permit Fee $ '1_�`•(}()
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.
❑ 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
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.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE � $ A-�
OCCUP. GROUP
I TYPE OF CONST.
�~
I
PARCEL
PD
HD
✓
ssuE
✓
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. fr+
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
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SK.4.1-Ol ;
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
I /'zz"
RMI T NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work Is completed. It you have any question pertaining to this
matter,00r need additional explanation, please contact this office immediately.
r
FIA
Inspector
�� .�- Date 9y( 4/ . �, ---
Eatte county
LAND OF NATURAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WORKS
. ,� ;,,, .,+* WILLIAM (Bill) CHEFF, Director
"' 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965
t
Telephone: (916) 534-4541
RONALD D. McELROY
Deputy Director
August 19, 1985
Lewis Wilson' RE: Building Permit No. 2577-84
Rt. ;rel Box, ' 245,F � Expiration Date 8/31/85
Oroville,' C, 95965 (A.P. No. 58-21-95 )
Dear -Mr. Wilson: -
With reference•to the above subject, our records indicate that your Building Permit
will expire'on the. above date. Building permits are valid for one year and should
construction be started but not completed by the expiration date of the permit, the
permit shall be renewed for 1/2 the original Building Permit Fee (plus a $10.00
"Filing Fee"). The renewal permit will extend the Building Permit for an additional
year from the original expiration date.
Should you not renew your permit in a timely manner, it cannot be renewed and all
work must cease until a new building permit is issued.
If your construction is completed or should you have any questions concerning this
.matter, please contact the Oroville office.
For your convenience, we are enclosing a renewal application form and an owner-
buildet form to.be completed and signed by you where indicated and returned to this
office together with the fee shown. Please return all copies of the application
form. ;
Thank you for your prompt attention concerning this matter.
Yours very truly,
William Cheff
Director of Public Works
JFG:aj
Attachments: Permit Application
Owner -Builder Information
Owner -Builder Verification
�r�l� : Glander ___1 -Chief Building Inspector
e
cc: Building Inspector - Oroville
Chico - 196 Memorial Way/891-2751 Paradise=- 747 Elliott Rd./872-2961, Ext. 57
V
a
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P T o.
(Rev. 12/96) APPLICATION AND PERMIT QA'M
ASSESSOR PARCEL U
NUMn gQ ^ n I
CJ Oc
=ONrg_
BUILDING PERMIT
OWNER
TELEPHONE
39-
639-6
SO. FT. OCC. BUILDING VALUATION
OWNEaq VNG
OWNEFNG D SS 1p/^/i^`L�•�(/r ,� , S% �
CONTRACT. ) NAME ♦ TELEPHONE
'
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS g(3 LJ
.Energy Plan Checking Fee
$
$
6
PERMIT FEE
S
LOT NO.
SUBDNISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF;(Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe W-Ior�k:_ - - ojok}L
Gas piping system 1 - 5 outlets
15.00 /5L 00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
S 3rj•
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service .OA oR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.PSIN
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
III do the work, and the structure is not intended or offered for sale.
[ , as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service TO l
46. 00
WEU200A
NEW CONST. DWEWNG OCCUP.
U
OR ADONIS. ( a ACC. BLDS.
SO
so
3.5¢FT:
I.mµaE°s,DT. MULTI.OUTLET
97,50
6 GLOWER E OUTLEAPPARAT TUCIR.S
Ex. Occup. OUTLET OR FIXTURES
20 Q'•00
eAL @ .50
Ex. Occup. O.R. ) E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
t
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
/ cone hundred dollars ($100) or less.)
�/ I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
alhwith comply with those provisions.
• jZ /0 •�
X Date !v
Sign re of Applicant - wner ❑ Contractor ❑ Age
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
-,3
corer. TvpE OD
TOTAL FEE $ 35.
HAZ. D. FE P
FLOOD
CDF
PARCEL
PD
HD
ISSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date %3 154
PERMIT EXPIRES ON 6-13-03
Date
Receipt No. S,
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENTOFPUBLIC WORKS PER N
7 County Center Drive - Oroville,aliforria 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
58-21-95
ZONING
BUILDING PERMIT
OWNER
Lewis Wilson
TELEPHONE
534-5410
SQA FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
Rt. #1 Box X 245F Oroville
C8y_TAAC TOR'S NAME
TELEPHONE
1st renewal permit
CONTRACTOR'S MAILING ADDRESS
Fireplace
C Q,tll,y.7d U CTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee @ ', FEE
$ 22.50
AYOHITECT OR ENGINEER
LICENSE ND.
Plan Checking Fee
,$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS dirt rd.,a
Permit tee
$ 32.50
PLUMBING PERMIT
Filing Fee 10.00
Rd., app. 3/10 mi SE Pulga Rd.,
Each Trap
2,00
-R enfl
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PAR EL MAP
Water piping
5,00
Each qas water heater or vent
5,00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other Pri_ swim_ oonl
SPERW
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
110.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: _
1st renewal Permit #2577-84
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1000 AMP V OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
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
1, as the owner, or my employees with wages as their sole Compen-
�91.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
fort r son
NEW CONST. DWELLING OCCUP.S ,
OR ADDNS. ( ACC. BLDGS. hQsgit
NEW CON5TR. UL '.OUTLET 2,50 ea
NON-RESID. BRANCH CIRC ITS
POWER APPARATUS e
SINGLE OUTLET CIR. I
Ex. OCCUp(OUTLETS OR FIXTURES 2Sot
.ALOao
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
9
Misc. Wiring 15.0:01
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Not ce 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.
ontractor
C
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
Hood
3,00
Ventilation
Permit Fee
$
Contractor
t)
1 certify th�t.fieJhave readrthisQ) application and state that the above information
is correct. 1 4-'ee to co ply to all County Ordinances and State Laws relating
to building corrst.. t.I nd,herp'by authorize representatives of the County of
Butte to enter o' -t ii . mentioned property for inspection purposes.
1 also agre to ave, j'd- t5 4y, an keep harmless the County of Butte against
all liabil' ie judg a c' .St's; d expenses which may in any way accrue
inst County c n enc of the granting of thispe it.
" Date
Igno ure o Applicant — Owner ❑ Contractor ❑ Agent If
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 32.50
OCCUP.
CONST.TYPEJ
I FLOOD
PARCEL
I PD
ND
490E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DI ECT R PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
-86
eceipt No.�'/�
NITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
F
r
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) xv
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:
NameQ
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 qtr
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 .40 el4m
Social Sec jt/y Numbe
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 per-
mitted to issue.the permit.
—07 / - 9S
IJ is 0 vt
Jt COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Cali' , nia 95965 - Telephone 916/534-4541
APPLICATIONIND PERMIT
PERMIT NO. v
�O
ASSESSOR PARCEL. NUMBER ZONIN _(1
BUILDING PERMIT
OWNER W
S i
TELEPHONE//,SQ,
FT. OCC. BUILDING VALUATION
u 97OW
J
E� MAILI=G ADDRE�
CONTRACTOR'S NAWM
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Flling Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ J W
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 1
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ �
BUILDING DRES
S 1 Vt 3 d
PLUMBING PERMIT
Filing Fee 10.00
;�
'�
Each Trap
2.00
Solar Water Heater
20.00
4wid
Water piping
5.00
LO NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCRE
SF [JDuplex ❑ Mobi lehome ❑ Other, rf< zi�) \VV -1 R"
SPECIFY
PECIFYTYPE
Building sewer
5.00
Mobile Home [=W
10.00 e
TYPEOF WORK
New Vddition ❑ Remodel ❑ Utilities ❑ Installation[— Other ❑
Describe work: —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service BOOV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&`
OR ADDNS. ACC. BLOGS. I
1
2/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
F1 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 Professi0\� Code
for this reason
NEW CONSTR. UL' -OUTLET 2.50 ea
NON.RESID BRANTCH CIRC ITS
NEW -CONISTR. POWOUTLET CIRER APPARATUS .&)
&
NON RESD. SINGLE
ExOccu 20®50e
. p�OUTLETS OR FIXTURES BALe30
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESID,) EA,) 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Mis Wiring 15.00
1 TA, -OZ)
Permit Fee $ .�^I
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
I shall not employ any person in any manner so as to become S,6 ject
Not�of Consent to Self -Insure.
to the W. C. laws of California. `
ceoApplicant: 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
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Feed
$
.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 toae
bove-mentioned property for inspection purposes.
Ialsoadem ify and keep harmless the County of Butte against
all liabs, osts, and expenses which may in a y w accrueagains on a uence of the granting of this permi .%� Date
Si a reOwner Contractor ❑ Agent ❑
An OSHA permit is required for exc ations over 5'0" deep and demolition or construct-
ion of structures over in height.
Mobile Home Installation Fee $
5�
TOTAL PERMIT,FEE $ 0�
OCCUP. GROUP
TYPE OF CONST.
JPARCELJ_
PD
ND
ISSUE
This permit'' hereby issued under
sions of theOtte County Code and/or
work indicated `above for which
D!�EC OF PUBLIC
BY
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Ff
Date yy��
r/ ��
stories
Receipt No. lf� o�
WHITE-D.P.W.. YELLOW -ASSESSOR. -PINK -INSPECTOR, GOLDENROD -APPLICANT
OF
q 1{ 1
COUNTY OF BUTTE - DEPARTME`NT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY, CENTER DRIVE - OROVILLE-, c6l%FORNIA'95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET)
Permit No.
OWNER �,s C._�SZ-Q. A. P. No.
Proposed Building Use
Permit Fee Based Upon: Complete Contract Price ✓`DPW Valuation
Other ((Explain)
Building Inspector �Date
�. m � R
At time of permit application, I was advised
and/or issuance:
following data must be submitted prior to permit processing
IV DATE RECEIVED APPROVED
1. All items have been submitted. . . ' . . . . . . . . .
2. Plot plans in duplicate./triplicate. . . . . . . . . . .
Complete plans in duplicate./triplicate.
Complete engineered plans and calcs.
5. Plans with Energy Design Compliance Statement.,:.
6. State Energy Forms No. I'
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
,L-etter of signature authorization.
.
rk Sanitation approval from Dr/ Health Dept.
11. Planning approval for (A) Use: (B) Parking:
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
Required. Building Inspector
18. Other
(Date)'
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other i11� n _
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 t 'me of pplication, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer Owner) as advised of above required data by Telephone Mail Other
By Date -A*
Plans checked by
Plans approved bt
Copy—DPW
To: Buildims &,,y .°tme-3IT"
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eoe , ..
Wster 'Supply
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e�Y//Ay�y�eG>NNiO�.TnSUWK9NY�PMM.O.�..�VJtLLitllw01�.
pp.vn — —-�•ryy.P�sneO/4mMCWAIwW�flw �:.Ol'NY.Y.mW.b-rf@Me a�.fiW..TFYP.�Ml6�bwl.���i6C.MY ••• •
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40
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Orovil le, 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 thisinformation 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 majorIirbpr and materials for construction
of the proposed property improvement(_e or no)
2. Ihave a not) signed an application for a building
perm 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 ign
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.'
PERMIT;NO. e=8jt8,PF4
f PERMIT EXPIRES 144
OWNER Lewis Wilson
CONTR. owner
I
r ' ASSESSOR PARCEL 58-21-95
LOCATION S/S pri.dirt rd.,app.3/10 mi.1
of Big Bend Rd.,app.3/10 mi.
SE of Pulga Rd., Big Bend
to
i
c
w
a
a
t '
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E �0
Temp. Gas Service
Called PG&E
JOB FINALEI
Signature
J OK
0 = Not OK
— = Not Applicable
* = Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, ETQ&(Plans) OK except #'s
1. Zoning Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
2. Footings; Size—Depth—Spacing—Connectors
M
3. Sewer; Location—Test—Fall-C/0—Concrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
i
4. Water; Location—Test—Easement Needed (Sketch)
4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
r
6. Gas; LocatiorrTest—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows—Doors
7. Utility Clearance
7. Elec. F
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
POOLS (Plans)•OK except H's
1, Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
4. Electricity; MH Test—Crossovers—Breakers—Clearances
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Elec.; Receptacles and Lighting; Distances—GFI
5. Drain; MH Test—Fall—Flex Connector
5, Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7, Water and Sewer Connected—C/0 to Grade—HD Approval
7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8, Gas and Electricity Tagged
8. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghig.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. Exits; Insp.—Sketch
10. Cert. of Occupancy
9, Health Department Approval
Card B -I
Date Card -BI Date
10. Plumb; Cir. Test—Water Supply Test
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
M
1'
i
r
' s ;
F � _
_ 0 - lz. K
Not Applicable
Not Ready
RESIDENTIAL (Single and Duplex)
Date
UND FLOOR Plans OK exce t#'s
Date FRAMING Continued
Zoning requirements—Setb —Easements
Pr erty Line Firewall & Openings
tg., Main; Soils—Steel ec. Grnd.— Ftg. Depth
4 xt. ors—One 3'—Check Garage -3rd story, 2 exits
tg., Garage; Soils—Steel— / /" Ftg. Depth
5 airs; Width—Headroom—Rise—Run-Landing—Fire Protection
4. Ftg., Porches & Decks; Soils—Steel— / /" Ftg. Depth
ly od on Roof Overhang—Attic Vents—Rafter Outriggers
Stemwalls, Main; Steel—Blockouts—Wrapped—Slab
iding—Na iling—Veneer
6. Stemwalls, Garage; Steel—Blockouts—Wrapped—Slab
53. Stucco Mesh—Drip Screed-Fdn. Vents—Underfir. Access
7. ers— Ftg.—Steel
54. GI g Area—Glass Protection-Skylights—Plastic
fj"C8.
D Fall—Fittings—Test-2 way C/O—Sewer Test
5 hear Walls; Nailing—Bolts
Size—Anchors
10. r Pipe; Test—Anchors—Regulator—Service Test
11. Electric; Underground
1Z Ponums & Ducts; Clearance—Material—Support—Ins.
el
�d�Girders—Sills—Anchor Bolts—Joists—Vents—Cripples
Card -BI ate and -BI Date
rd -B Date and -BI Date
Card -BI Date Card -BI Date
Card -BI
DateCard BI Date
Date FINAL (Plans) OK except q's
Card -BI Date ,. Card -BI Date
Date
PLUMBING (Permit) OK except q's
5A_-E0rSteps—Door & Sidelight Protection—Landings
oke Detector
14. Water Ht.; Vent—Access—Combustion Air
56tVurnace; Vents—Clearance—Comb. Air—Connector-
' In Garage; Above Floor—Ducts—Mech. Protection
1 ater ipe; Test & Anchors—Nail Protection
1 V.; Test—Fttngs &Anchors—Nail Protection
50/Bedroom Exiting
er Pan; Test, First Floor—Tub Access
E".F.l. & Bath Fixtures & Tub Access
18. t Tub & Shower, 2nd Floor—Tub Access
6 Elec. Trim & Subpanel; Breaker Sizes ab
19. Gas Pipe; Size & Anchors
6 tairs & Rails
Fireplace or Stove; Clearances -Hearth
Ems. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
6 • K' ixt. & Appliance; Grnd.—Air Gap—Cooking Clearance
Card -BT
Date Card -BI Date
. Elec. Outlets & Receptacles at Kit. Counter
Date
E RICAL Permit OK except q's
Garage Fire Door; Swing—Landing—Closer
6E'—Tc'6r9aci.in Gara e—Damper
Fixture &Transformer Clearance—Ins. Protection
69. Wtr. Htr.; Vents—Clearance—Comb. Air—Connector P.R.
In Garage; Above Floor—Mech. Protection
2 lec. Receptacles Spacing—Lights & Switches at Doors
fig--pl'b., Elec. &Mech. Equip. Listed for Location
2 ze Boxes & No. of Conductors—Stapled
741:�Iec. Receptacles in Garage; (G.F.I.)—Romex Protec.
23,o0<omex Installed Close to Edge of Studs & C.J.
2 qui . Ground made up w/Mech. Fasteners—Bond Gas & Water
Insulationto Attic
72• wee -
Foam—Looked
)
$,�tlard Rails &Deck Construction—Post Caps
2 Appliance Circuits in Kitchen & Conductor Size
26 ubfeed Wire Size / / ga. Cu or AI—A.C. Wire Size / / ga. Cu or At
74. Fdn. Vents & Crawl Hole Door—Drainage & Wood -Earth Clearance
Looked under Floor 14"YM
27. ange Circ. / / ga. Cu or AI—Oven Circ. / / ga. Cu or AI,
Insulated Neutral ❑ Yes ❑No
75. Following in�stld�.: Drive es ❑ No; Walks Yes ❑ No;
h
Planters 1d Tes Cl No
28. Service—Riser Conductors & Ground—Main Disconnect
-BTMn—Finish
7 it; Disconnect—Clrnces—Brkr. & Cond. Size -115V Outlet
7 encs Above Roof; Plbg.—Appliance—Firepl.—Clearance to Opngs.
29. Equi -Clearances; Panels—Motors—Mech. Equip.
30. othes Closet Light—SWDOer Light
Water Well; Disconnect, Electrical, Plumbing
/
Card B -I Date I f_ ;EHCard-BI Date
8i1r--E3Rerior Elec. Trim; G.F.I. Receptacle—Underground
throughout House
8�Glass
Card B -I
Date Card -BI Date
Prot
8 Glass Protection
Date
MECHANICAL (Permit) OK except q's
orrections from Previous Inspections
84. Gas Test—Meters Tagged; Gas—Ele is
31. A.C. Ducts; Insulation & Support
8fie<ater & Sewer Connected—C/0 to Grade—HD Approval
32. Vent Fan; Exhaust above Insulation
nergy Compliance Certificate—Other Certificates
_
33. Condensate Drain & Overflow; Size & Grade
34. Furnace—Vent; Access -Comb. Air—Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
—
Card -BI t Card -BI Date
Card -BI
_ Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Date
FRA NG(Plans) OK except q's
. Sjll Proper Material & Anchors
Comments at Final:
_
3 a ; Studs—Nailing, Spacing & Bracing—Plates—Sound
_
38 earing Walls over Girders & Floor Nailing
raft Stop in Walls (rat proof)
_ Fir Stops; Furred Ceilings—Stairs—Chases—Tub
Bader & Beam—Size & Bearing
4 angers—Post Caps—Anchors—Connectors
43. Cln .Joist—Rftr. Ties—Purl' Roof erac.—Truss—Shthng.—Rfnq.
replace Ties or Ty Flue—Fireplace Throat
Access: Size & Romex Protection—Draft Stop—Ins. Baffles
_
4 rm. Windows or Exiting Doors—Sill Hgt. & Dimensions
4 Garage Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
RES IDENT IAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INST LLED IN CONF RMANCE WITH CUT ENERGY CONSERVATIO REGULATIONS
(location)
BUILDING PERMIT NO. j22 -S-- J% A:P. NO. 5��
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED.PLANS:
(Check each item or write N/A if not applicable)
INSULAT ION :
Slab Edge P�—
Fdn. Walls $
Floors. (o,�
Walls
Ceiling/Roof `
Ducts
Circulating Pipe
APPROVED HEATER
APPROVED WTR.HTR. V
GLAZING:
Single Glazed
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS.
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS
INTERMITTENT IGNITION /DEVICES
—
CERT. APPLIANCES V
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name
Signature of
(please print)
Insulation Applicator
State Contractors
General Contract
/Owne ame
Signature of
General Contrac
/le a print)
1 Date
State Contractoid
License No.
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
,. WITHIN THE DWELLING.
J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR S PERMIT NO.
' 7 Cour_ty Center Drive - Oroville, California 95965 -Telephone 916/5 4-4541 p :j
APPLICATION AND PERMIT .�
ASSESSOR PARCEL NUMBERZO
a - Q�'
XG
_ 2.
BUILDING PERMI
OWNER
/, (5- U-) Is
TELEPHONE
('rLa
SQ. FT. OCC. BUILDING VALUATION
s10
OWNE$S Jr1A�✓G ADDRESS
U 7
7
CONTRACTOR' S NAMETELEPHONE
c5W�6K,
$-3—��y�
'
CONTRACTOR'S MAILING ADDRESS
Fireplace " SCD 0
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ —
AR ITECT ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ q3i
BUIL ING ADDRESS O /
s s '1/ML�- -Per VAS DIP -TP -D. • �4PO.
PLUMBING PERMIT
Filing Fee 10.00
i0
�i /1 - / K a SPP
Each Trap
% 2.00 0�
Repair drainage or vent piping
5.00
--C4'
/0 M/tc S E DF' pvz 4 %La• �/� ij
Water piping
-
LOT' O.
SUBDIVISION NAME
PARCEL MAP
S-7-
Each qas water heater or vent p 5,00 S.00
Gas piping system 1 - 5 outlets
00
USE OF STRUCTURE
SF)Q Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
—
Lawn sprinkler system
5.00
TYPE OF WORK
New Addition El Remodel❑ Utilities❑ Installation❑ Other❑
Describe work:
Permit Fee
$ L `
Contractor
ELECTRICAL PERMIT
Filing Fee 110.00
Main service 600V OR LESS
100 AMP OR LESS
5.00 5-
Main service EA. ADD'L 100 AMP
2,50 a
NEW CONST. DWELLING l�
OR ADDNS. ACC, BLDG
2� sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and' Professions Code and my license is in full force and effect.
License No. Classification
/xI, as the owner, or my employees with wages as their sole compen-
Isation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions, Code
for this reason
NEW NON-RESID R. BRANCH CIRCTITS 2.50 ea
NEW CONST R, / POWER APPARATUS e)
NON-RESID, SINGLE OUTLET CIR,
Ex. Occup(OUTLETS OR FIXTURES_ s �@1
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee
$
Contractor WIXb'GL,
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.
1 shall not employ any person in any manner so as to become subject
o 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 shalI be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
[�O As
® O -
Cooling
Hood
3.00
Ventilation
—
Permit Fee
$ -'
Contractor W;nLrv.,
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, ju men co s, and expenses which may in any way accrue
against said yin I ence of the granting of this permi
X - Date 41110
Signature of Applicant — Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE60 $
OCCUP, GROUP
-3
I TT E OF CONST.
-��J
IPARCE
PD
ND
550
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PU
_ �
By. �~`
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
IC WORKS
Date
--A✓
p
Receipt No. 3 �- v ��O
WHITE -D. P. W,. •EL LO W- ,��•I SPE0 JWLDENROD-APPLICANT
c COUNTY OF BUTTE - mEPARYMENTMOf=`PUBLIC WORKS - BUILDING DIVISION
k{
7 COUNTY'CENT+ER DRIVE - OROVILL, CALIF*ORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET �/ I
Permit No.
t=4
OWNER EDW c A)A. P. No. S g'a/' 94
Proposed Bui Iding Use
Permit Fee Based Upon: Complete Contract.Price � DPW Valuation
%Other (Explain) /r /
Building Inspector Date o
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: ? DATE RECEIVED APPROVED
r 1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate./triplicate. . . . . . . . . . .
3. Complete plans in duplicate./triplicate.
Complete engineered plans and�cS.7Z& .
5. Plans with Energy Design Compliance Statement.
6. State Energy ,Forms No. ,
7 Statement of Intent for Non -Heated and AC Buildings. .�
8. ^Fees of $ . . . . . .
9. Letter of signature authorization. . ` . . . . . .
0010. Sanitation approval from U001 l.h..t - Health Dept.w1wel
1.1. Planning approval for (A) Use: (B) Parking:
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-Daia.` . . . . ..
t •Pre-Inspec, request to
PIre-Inspection for Required. Building Inspector (Date)
Other
When u Lue the permit, process as follows: r Mail t owner. Mail to contractor.
Telephone 77- and hol for pickup atoffice. Deliver w/inspector.
Other_ FA/
Applicant Date `�/) //
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 a) time of application, circle item.)
1. Index permit for above Items NA.
t 2. Additional items required: t,
(Contractor, Desig r, Ow was advised of above required data by elephone r"< Mai Other
By- Date S -7-87
Plans checked by Date
Plans approved by Date
Other:
Copy—DPW
Q
U-20 "MR -0.
Too Building Department
From: Environmental Health
Sub j e t: + //Sanitation Clearance y� �� Q!
a�✓ :i V - lR • Ralaisga0ee0utln sV �'Mas�esnvns��e Olc�•-
'liar a ion
Plan approved for: Sewage disposal Water Supply
Hold final for: Water Supply
Final clearance O.K. for: Water Supply
Clearance for bedroomhome. Other
Note***
sane a 3. I - —at
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 lU ild-
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) �1.�— 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
r
S ign
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 / `PERMIT NO.
7 County Center Drive - Oroville. California 95965 - Telephone 916/541
APPLICATION AND PERMIT // r
ASSESSOR PARCEL N MBER
ZO ING
BUILDING PERMIT
owN R
f lS f s a-vn
TELEPHONE
FT. OCC. BUILDING VALUATION
OW 'S M ILING AD RESS V
CONTRACTOR'S NAME �n TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing
9 Fee
$ 10.00
LENDER'S MAILING ADDRESS _
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUIL ING DRESS
B 1�
'
9� `
PLUMBING PERMIT
Filing Fee 10.00
` _ S
d ``
Each Trap
2.00
Repair drainage or vent piping
5.00
k")4
_
Water piping
LOT NO 3UBDI VISION`N AME PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SFDuplex❑ Mobilehome❑ Other
SPECIFY('1,
Building sewer
Lawn sprinkler systeml
5:00
i
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other
Describe work: �i�lz� . L&
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2:50
NEW CONST. ( DWELLING OCCUP.y\
OR ADDNS. ACC. BLDGS.
2¢ sq ft
-
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the 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. MULTI -OUTLET
NON.RESID BRANCH CIRC ITS
2,50 ea
NEW CONSTPOWER APPARATUS 6\
NON- R RESID. (SINGLE OUTLET CIR. I
Ex. Occup OUTLETS OR FIXTURES
BAL@1
FIXED APPLNS, OR
Ex. Occup.(OUTLETS (RESID,) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
7.50
Permit Fee
$
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 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'
r to the W. C. laws of California.
Notice o Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to'building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnik and keep harmless the County of Butte against
all liabilities, judgments, 96As,4nd expenses which may in any way accrue
against said Coun in co e f the granting of this per t.
X Date
Signet of Icanr — wnec Contractor ❑ Agent
An`6SHA_'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 $ 2 0 ,
Occup, GROUP
I TYPE ov CONST.
PARCEL
PD
HD
99UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
RECTOR OF PUBLIC
By
y{`
PERMIT EXPIRES ate IfL ,r�9_
the applicable provi-
resolutions to do
have been paid.
WORKS
Q
Date Q
V
Receipt No. 7a -7 /rij
I
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
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 nameand 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 0_
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 Sec ity um er
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.
,I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 C�Dunty..;yenter Drive - Oroville,,California 95965 - Telephone 916/534-4541
" APPLICATION AND PERMIT •
PERMIT NO.
ASSESSOR PARCEL NU BER
_
ZON NG
BUILDING PERMIT
OWNSTELEPHONE
S
SO. FT. OCC.1 BUILDING VALUATION
OWNER'SMAILING ADDR SS ( ; (/,�
T `! T
CONTRACTOR'S NAME f
hQ/, TELEPHONE
Lj /
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
i
UNKNOWN
Total Valuation $
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Penalty $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee $ S ,
BUILD G A ESS j /�I
� S � r [—jJ � �(/
PLUMBING PERMIT Filing Fee 10.00
l) t` t
Each Trap 2.00
Solar Water Heater 20.00
/,0
Water piping 5.00
LOT NO. SUBDIVISION NAME
Ju RCEL 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
SPECIFY
Building sewer 5.00
Mobile Home S G W 10.00 e
TYPE OF WORK
New❑ Addition ❑ emodel❑ Utilities Installation❑ Other
Describe work:_ `Q��aA� ��'''
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 600V OR LESS 10.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
NEW CONST.// DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS. 2h0sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F-1NON.R
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.
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 ULTI.OUTL'ET 2,50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR.(POWER APPARATUS &1
ESID. SINGLE OUTLET CIR . /
20050C
Ex. Occup(OUTLETS OR FIXTURES BAL@30C
FIXED ALNS.License
Ex. Occup. OUTLETS P(RESID )REA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood 3.00
Ventilation
permit Fee $
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to sav 1i emnify and keep harmless the County of Butte against
all liabilities, m osts, and expenses which may in any way accrue
against said ty i sequen a of the granting of this permit.
X Date
Slgnatur of Applicant owner vvt�ConrraGtor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
g
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
F
IPARCELI'PD
HD
ssuE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
IR OF PUBLIC WORKS
'
I 11) 111171_ (x�y�
BY `.1 Date -v1
PERMIT EXPIRES Ole J.' '� /9_Xk;11 3
Receipt No.r:Z
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
'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
Aaaress / 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 ode 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 Secur} ty n m er >
Date �i/ 7-:74 IF
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.