HomeMy WebLinkAbout058-450-021f
58-45-21
RIC CAMPBELL
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2931 LosAgos Line, Oroville
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it#1371"-8 • ; P; E;M(new single family)
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>58-21
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ermit#2000-87B(lstal/1371-86)
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758-45-21
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Permit 2316-88F3(2nd renewal/1371-86)
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PERMIT NO.
PERMIT EXPIRES
1.
Y
OWNER RICHARD CAMPBELL
CONTR. owner.
ASSESSOR PARCEL 58-45-21
LOCATTII(O�N� 2931 Los Amigos Lane, Oroville
hz� Of
3
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t'.
_
Temp. Power Pole
Called PG&E
f?
Temp. Elec. Service
}
Called PG&E
Temp. Gas Service
n Cald &
�l�iK' may.
JOB FINALED (Date)
Signature
av
f
.j
V = OK -
0 = Not OK
- = Not Applicable
* = Not Ready
MOBILEHOMES
MISCELLANEOUS
t.
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
_
2. Footings; Size -Depth -Spacing -Connectors 1
3. Sewer; Location -Test -Fall -C/O -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; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
7. Utility Clearance
6. Carports; Windows -Doors
7. Elec..
NCa 'd -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Car -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Da a
_
MOBILEHOME INSTALLATION (Plans) OK except H's
1. Zoning Requirements -Setbacks -Easements
Date
POOLS (Plans) OK except q's
1, Setbacks -Easements
__
2. Footings; Size -Spacing -Marriage Line
• 2. Soils; Compaction -Structure Stability`
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-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
-2-
'?L_
/ 8. .W.V.: F -Fit ' s t way O ew s 55. Shear Walls; Nailing -Bolts
as Pipe; Size- hors
Water Pipe; -Reg or ervice Test
12. Pfea�&-Bnets-Elearance-Material-Support-Ins.
��irders-S' Anch olts-Jot �Crip s Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -B Date r- Card -BI Date ��
Card -BI' Date Card -BI Date Date FI ns) OK except k's
6. t. Steps -Door & Sidelight Protection -Landings
Date PLUMBING (Permit) OK except q's . Smoke Detector
14. Water Ht.; Vent -Access -Combustion Air pace; Vents -Clearance -Comb. Air -Connector -
15. Water Pipe; Test & Anchors -Nail Protection In rage; Above Floor-Ducts-Mech. Protection
_ 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection Bedroom Exiting
17. Shower Pan; Test, First Floor -Tub Access "& Bath Fixtures & Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access r&L-E4t�Trim & Subpanel; Breaker Sizes -Labels
19. Gas Pipe; Size & Anchors rs & Rails
-
P -. "Fireplace or Stove; Clearances -Hearth
61. Outlets at Wood Panel; Int. & Ext.
Card -BI Date Card -BI Date Kit. Fixt. P. Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI Date Card -BI Date �r� Outlets & Receptacles at Kit. Counter
.67-Gamge Fire Door; Swing -Landing -Closer
Date ELECTRICAL Perrrit OK except N's in Garage -Damper
20. Fixture & Transformer Clearance -Ins. Protection f'�Jtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
21. Garage; Above Floor-Mech. Protection
21. Elec. Receptacles Spacing -Lights &Switches at Doors Elec. & Mech. Equip. Listed for Location
22. Size Boxes & No. of Conductors -Stapled Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
- Insul tion -Foam -Looked in Attic E] Yes
24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
- - - 7 u Rails &Deck Construction -Post Caps
25. 2 Appliance Circuits in Kitchen & Conductor Size Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At Looked under Floor ❑ Yes
27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, 75. Following instld.: Drive ❑ Yes o; Walks ❑ Yes o;
_ Insulated_ Neutral _,Yes ]No Planters E-1 Yes FJ No
_28. Service -Riser Conductors & Ground -Main Disconnect ._6-9tGc`co- Brown -Finish
29. Equip. Clearances; Panels-Motors-Mech. Equip. .Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
90. Clothes Closet Light -Shower Light _ Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
-- - - --- - teeter Well; Disconnect, Electrical, Plumbing
----- - -- - --- -- ---- erior Elea Trim; G.F.I. Receptacle -Underground
Card B -I Date _ Card -BI Date _ 'lation throughout House
Card B -I Date Card -BI Date ss Protection _
Corrections from Previous Inspections
Date MECHANICAL (Permit) OK except N's 84. Gas Test -Meters Tagged; Gas -Electric
31. A.C. Ducts_ Insulation & Support - _ er & Sewer Connected -C/O to Grade -HD Approval
32. Vent Fan: Exhaust above Insulation _ _ 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 Dat _ Card -BI Date
Card -BI Date Card -BI _ Date _ Card -BI Date Card -BI Date
Card -BI Date Card -BI Date Card -BI Date Card -BI Date
Date FRAMING(Plans) OK except q's Comments at Final:
_ 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. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shlhng.-Rfng.
44. Fireplace Ties or Type A Flue -Fireplace Throat
45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles_
46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47. Garage Fire Protection Framing
%L -
V OK
0 x Not OK'
Not Applicable RESIDENTIAL (Single and Duplex)
Not Ready
Date
UND
LOOK (Plans) OK exceptq's
Date FRAMING (Continued)
requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
I.-'Ftg.,
�g
Main; Soils -Steel -EI d.- / iJ�'Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
- /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.orches
& Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
_
Stemwalls, M ; Ste -Bloc s-Wry-Slebi
52.
Siding -Nailing -Veneer
6.
outs -Wrapped -Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
rs-Fireplace Ftg.-S
54.
Glazing Area -Glass Protection -Skylights -Plastic
(NOTE: An entry must be made each time you visit job site)
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Owner:
LOCATION ;
Permit No.
E N E R G Y C E R T I F I C A T I O N
DESCRIPTION OF INSULATION
A. P.. No.
ROOF" /_
Material Jif/S/�� ✓%6W Brand Nameice' aws Yzo 6,4:2
Thickness(inches) In :� Thermal Resistance (R Value) P-1-1
EXTERIOR WALL
Material G% /� f� h ��/! .� Brand Name
Thickness(inches) - Thermal Resistance(R Value)
CEILING
Batt .or Blanket;Type �1¢ Brand Name 46 % �
Thickness(inches) Thermal Resistance(R Value)
Loose Fill Type" Brand Name
Minimum Thickness(Inches) Number of Bags Wt. per bag lb.
Area covered(ft.2) Thermal Resistance(R Value)
FLOOR, ELEVjT�D '
Material
Thickness (in es)___y
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material C'd%l�'2G�Ts
Thickness (inches) J,S5'
Brand Name
Thermal Resistance(R Value),e-,1,1
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I:hereby certify that the above insulation was installed in the above building
in co formance w h the State of California Energy Requirements.
Q
FIRM 4WE/OWNEV, STATE CONTRACTOR'S LICENSE NO.,
SIGNATURE OF INSTALLATION APPLICATOR
DATE
I hereby certify the above insulation and all required items as shown on the
Building Department 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 California. -
FIRM NAME/OWNER .(Plea a print) STATE CONTRACTOR'S LICENSE NO.,
SIGNATURE OF (IF RAL C RACTOR OWNIER DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A`COPY SHALL. BE POSTED WITHIN THE. BUILDING.
January 1984 ;'
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
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be -corrected. Please notify this office
when correction of work is completed. If you have any question pertaining -to this
matter, or need additional explanation, please contact this.office immediately.
Inspector
Date �/ A6
r
OWNER'S NAME:
PERMIT #:
When approved, process as follows:
Mail to owner
A. P. #:
(Address)
Mail to contractor
(Name and Address)
Call and hold for pickup at office.
Deliver with next inspection.
RECEIVED
DATE
TINE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751 t
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
..y
CORRECTION NOTICE
OWN ERERCT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector Gi'/ // Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCELNU�QB€R
(,J)�I
Zo" G
BUILDING PERMIT
owN
E P ON
53
SO. FT. O C. BUILDING VALUATIO
<%
OW E 'SM ILIN ADDRESSn <
•A
CON TOR'S NAME TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CON T UCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
AR TECT OR ENGINE
B h
LI E
Plan Checking Fee
$
r04
Energy Plan Checking Fee
$ �
ARCHITECT R ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS I
r
Permit fee
$ r
PLUMBING PE MIT
Filing Fee 10.00
%
d9 C1 I LV10
Each Trap
2.00
r4 11
lar r heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00 \t0
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 �, D
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New [� Addition ❑ Remod I Utilities ❑ Installation[] Other ❑
Describe work: L3 /\ _
Permit Fee
$
Contractor
ELECTRICAL PERMIT_
Filing Fee 10.00
Main service V OR LE
Qo°o AMP ORSLESS
10.00 /Q 0
Main service EA. ADD'L too AMP
2.50 I
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El 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-
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 OC
OR ADDNS. ACC. BLDGS. /20sgft
NEW CONSTR. MULTI -OUTLET
NON.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS S
SINGLE OUTLET CIR. I
Ex. OCCUp(OUTLETS OR FIXTURES 2AL9
eL93090
FIXED APPLNS. OR
EX. Occup. OUTLETS IRESID.1 EAI2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. �yirin 15.00
9
AJ
Permit Fee $ ,
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
„I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
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 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 o quenc of th granting of this permit.
��,,{{%%
%�.1 1 Date [5 ��C)_O ��`
Signature of Applicant — wner� Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ �Q
TOTAL PERMIT FEE^, - $ r
OCCUP.
3
CONST.TYP!
.1
IV
FLOOD
FARCE
PD
No SSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DI CTOR OF/)PUBLIC
G
BY
PERMIT EXPIRES Date
e
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
R
Receipt No. `
WNI T!-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
Ysx, t., IT r R ,. .. , .:.... R„ ...M. , .+ : ,r :n• �. ,.t•«
9 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLB,,CALhFrORNIA 95965 - TELEPHONE: 916/534-4541
f PERMIT APPLICATION DATA SHEET '' r
Perm
OWNER / 1 (' C4 ✓SPI �C[ n'1 /� ��' I ! —� A. P. No.
Proposed Building Use ./t/ C L( ) / /-
Nil
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Other EX
pl )
Building Inspector. Date �S F
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. . . . . . y.
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ I . . . . . . . .
Letter of signature authorizati n.
d 10. Sanitation approval from L) I r . 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 owner0, Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . .
16. Mob i lehome Installation Data. . . . . . . . .
. .
Pre-Inspec. request to Dote)
1 Pre -Inspection forA�r`c,,1 k d Required. Building Inspector
Other
Recorde�iRR i t�;lttwrrl' 'r onstrucltic�n approval required r o o cupa cy
19. Other
When you issue the permit, process as follows: Mail to owner. Mail to contra,,ttor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
)eC
Ole- �2 a Appl icantviu�.�✓�Date S;__ Z 3- �G
�1
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 apo.1icatio 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 In Date
Plans approved by Date
Other:
Copy—DPW
To: Building Department
From: T�nvironmental Health
Subject: Sanitation Clearance
4i
Owner' Location V AP#
Plan Approved for: Sewage disposal 01\ water supply
Hold final for:
Final clearance O.K. for:
Clearance for bedroom merle home. Other
NOTE
water supply
water supply
J, L--
Sanitarian Date
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 a}� ,d materials for construction of
the proposed property improvement (yes or no) T CJ S5
2. I (have/have not) A570 6 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 Securit
Date 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.
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT RECORDED IN OFFICIAL RECORDS
FOR RESIDENTIAL DEVELOPMENT OF BUTTE COUNTY, CALIFORNIA
ATTNE REOUEST OF
Section 26-8.1 of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit. PARrI SHOWN
86TIS981 1966 JUN 11 AN 9: 45
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of this ELEANOR M. DECI(ER
property may be subject to inconveniences or discomfort arising from CLERK'RECORDER FEE
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
and fertilizers;-and'from the pursuit of agricultural operations including, but not limitedB'
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, J
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural purposes, and residents within said zones and on Pa;
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.
All that real property situate in the County of Butte, State of California, described
as fol lows
1161 �l A- d' �' � r` %� SCJ �� l��G
e
0/ roc-tl r 51- r
j I�- �(CLc� �� ..G ? R ( f,� %/ �✓ y %'Q /4
-711
_ / o �✓ �.�� �/ v /i l,�'�y f�t� ja o o
0 /* 7' di i� G of ``//
/1,V
y/
j _`: fir✓ f�s �.c°�� C� � T�� �
cy'n oCJE?�� cv`' 9� O ( &-,q)/ G�
yz. t-r-� � cl�j'l � ��`'s i�� .`-5"dc� T/•(a�-�/y O � � �� i� ®7( 4s7x, ql
Date: —��— PROPER WNERS :
�71 xz-�.W;t,41
State of CAhkl?,vrA ) On this theda %
y of 11-Tam? 19 P6 , before
SS. me, the undersigned Notary Public, personally appeared
County of ./3ar* )
A �. LAatR&11
L/ Personally known to me. X/ Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose hame(s) IS subscribed to
the within instrument and acknowledged that Ile
n
n RICHARD FEUERSTEIN 0 executed the same for the purposes therein contained.
® NOTARYPU®Lr--CALIFORWA IN WITNESS WHEREOF, I hereunto set my hand and_ official seal.
sufte County m
p My C.omnission 6Ues Jen. 24,1 M Q
u
Notary Public
Present A.P. No.
RESIDENTIAL PLAN CHECKING GUIDE 7/85
(S.F., DUPLEX & MISC. ONLY)
Bldg. Permit # 1,3 7/--f(.
OWNER /1!1 � �.�, h ��� A . P . # •S"� ��
GENERAL
oning requirements: (sideyards and number of permitted living units).
Valuation.
3, -,.,Plans signed by designer.
4'. Energy Design and Compliance.
Existing violations on property.
PLOT PLAN
_4-"*0Complete parcel size and dimensions..
,,21."O' Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
Flood hazard.
Special conditions on creation map or compliance document.
FLOOR PLAN
Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1205).
Required windows for second -exit -(Sec. 1204).
-`r' Skylights (Chapter 34 & Sec. 5207).
Human impact glass (Sec. 5406).
�! Required room sizes, ceiling heights (Sec. 1207).
G.F.C.I.'s in baths garage and exterior outlets (Article 210-8).
8. Light fixtures, switches, receptacles, and exterior receptacles for m e ante o
mec eq�-i-pment .
,0 Locations of water heater,hearing-acrd-coo ng—e•gh+pmeht other electrical or gas
equipment, -and plumbing fixtures.
LOe6ar-age-___..__l, �b�''^s'S e c oser Sec. 03(d)(3)).
1 - 3'0" exterior exit door (Sec. 3304(e)).
" Fireplace and wood stove location.
1 1 Smoke detectors (Sec., 1210).
STRUCTURAL DETAILS
Foundation plan complete enough -:to construct building.
Floor construction details complete enough:to construct building.
Elevations and wall construction details complete.enough to construct building.
1✓. Roof construction details complete enough to construct building.
Fireplace construction details and calcs if necessary.
dSufficient data and details to satisfy energy requirements (State Law) (Form 1)'.
MISCELLANEOUS ITEMS TO LOOK OUT FOR
�Y Exposure I plywood on exposed locations and overhangs.
Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
.�9< Guardrail details (Sec. 1711 & 3306(j))':
Brick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec. 4706).
'Proper roof pitch for roof covering (Chapter 32)..
Rafter ties or bearing ridge beam.
RESIDENTIAL PLAN'CHECKING GUIDE (CONT'D)
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D),
Garage door or porch header sizes. ,
Adequate bracing.
Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
:)al< Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716).
.12!' Attic access and ventilation (Sec. 3205).
rj3!' Underfloor access and ventilation (Sec. 2516).-
14* Wood stoves, clearances,
Combustion air for fuel burning appliances.
Noise requirements on duplexes.
-a' Adobe soils - special.foundation design.
'.' Retaining walls requiring design.
Unusual shape, size or split level house requiring lateral design.
7/85
r z 1
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WILMOD
k.Nk
. Lt-E FICKe8 3014 OIi'veAw 1
" 92408 - Y BOB BEEVER
-- Oroville, California 95966 ' (916) 53"3.8151
(916) 534-1324
tt
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ok
v14
�LV`tR+ayn
setbeck.of :from the
property lines and asetback rp'
,of 50ft. from_ -the road
centerline shall be clear of
structures:or'equipment except L,
veroverhang.
fora 2 ft::rear+^
... � 1 4...S�.l"`��',+.5.%."t,T� � KIK ..aM•., ..
'This set of plans and specifications MUST. be'
kept an the_jnli at-aA times and it is unlawful to .tdt1� �' -•��
maks any c'nanges'or alterations on same without c 't 'y - �z .« �
__tvr-itten per�i�ssioei, 9rra :t�ie.pepartment of Public
Vorks, Cod4—oJf:Butte: ;; ,.. �:
Ev
4 ''f ALL.LOG HOMES ARE NOT CREAT
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ENGINEERING 22D GRAND AVENUE
SURVEYING GD OROVILLE, CA. 95965
• • PLANNING (9 6) 533.2D66
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COMP. 3•�
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',� ENGINEERING 970 GRAND AVENUE
SURVEYING GU OROVILLE, CA. 95965
` PLANNING \ (9161533. MS
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ENGINEERING 0 : AVENUE
SURVEYING CU OROROVLL LLE. E, CA. 95963 /J
PLANNING (VI b) 533-7068
T'c of r -i r461
6336 �- sxizX b 957��
►mss a�- c �.��. = ► oc� �s
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4
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77R,-4, 449.3_x spa x 63 =
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*l -LL
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ENGINEERING 1i 170 GRAND AVENUE !
SURVEYING OROVILL E. CA. 95965
/
PLANNING (1 6) 3712068
PL F
540 .N
tv
�r 4rL �L�G
77R,-4, 449.3_x spa x 63 =
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-�X IO DF -L 4-1 Ok
h_ 32.3 i =230.8 s-�9•�
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*l -LL
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INGINEEPING 710 GRAND AVENUE i
SUR V EYING CU OROVILL E, CA. 95963
PLANNING \ j 4 (916) 5711068
14o v 24/a, _ 1680
Mme'
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n
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er- i4 -8 �
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4-eC
RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY ���� '
0sanerI�h _ Climate ,Zone _�� Permit No., —
Floor Area /3/a Ir
;Compliance path: Package ❑ A ❑ B ❑ C oint System []Budget ❑ Other
MIN R -VALUE DESCRIPTION
REQ'D
• INSTALLED ITEMS (1) INSULATION•
(� Roof•/Ceiling 30 g/ ss
Q' Wall l3 /�J�0.11 /oas
13 Slab Floor Perimeter
l� Raised Floor ! f '�� /p. Jr -
(2)
(2) INFILTRATION•
❑ (A) A vapor barrier is.required in climate zones, 1, 14 & 16.
C (B) All manufactured windows and sliding glass doors shall meet the
1972 ANSI Air Infiltration Standards and shall be certified and
labeled.
(C) All swinging doors and windows leading to unconditioned areas
shall be fully weatherstripped.
Tight - the above standard features plus:
Q (D) Continuous infiltration barrier
❑ (E) Electrical outlet plate gasket
❑ (F) Air-to-air heat exchanger,
(3) GLAZING •
(A) Location
13
13
13
13
13
7/83
(E) Thermal
mass
Area Glazing
%Floor Area Single Double Triple
Total Bldg
Type
/A t. X
CY
North.,
/
J-7
p�
East
.24
South-
Type
�/
West
1 S'
/,
❑
Skylights
(B) Shading
Type
- Area
Ft.2
Shading
R=
MC=
Location
Coefficient Description
East
14 Y_'Y
Q^ �
South
Ft.
HC=
[�
West
Location
'
❑
Skylights
yp�_
Type
(C) South Overhang
Ft. �
H .
Length of
projection
.2 ft. Description
❑"
(D)'Moveable
insulation: Area ftz Description
13
13
13
13
13
7/83
(E) Thermal
mass
Type
- Area
Ft.2
HC=
R-
MC=
Location
Type
- Area
Ft.
HC=
R=
MC=
Location
Type
- Area
Ft.2
HC=
R=
MC=
Location
Type
- Area
Ft.
HC=
R=
MC=
Location
yp�_
Type
a Area
Ft. �
H .
MC=
Location.
TC=tMM:ft1k%a r)�E"°`
Type
- Area
Ft. �
R=
MC=
Location -
® W V% ON X7
- .
CORM
❑ (4)
MASONRY AND FACTORY-BUILT_FIREPLACES shall be equipped -with tight
fitting closeable metal or glass doors covering the entire opening
of the firebox; a combusion air intake equipped with a readily
accessible, openable, and tight fitting damper to draw air from the
outside of the building; and a tight fitting flue damper with a
readily accessible control.
*1 (5)
HEATING. VENTILATING; AIR CONDITIONING SYSTEM
(A):' -Heating
❑
Central Gas Furnace %
(brand and model number) SE
Btu/hr
(heating capacity)
❑
Heat Pump.
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
❑
Active Solar'.
:;type (liquid or air) Collector. brand and
ft2
model number solar fraction collector area collector
orientation collector.tilt rated y -intercept
rated slope
00 nQ
Other
(describe)
*1
(B) Cooling
❑
Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 950F)
❑
Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95°F)
❑
Other
(describe)
❑
(C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on
its second stage, shall be required for heat pumps.
❑
(D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except
those controlling heat pumps.
(E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired
fan type central furnaces, gas-fired fan type wall furnaces and
gas cooking appliances.
❑
(F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting
air to the outside.
Q
(G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and
fitting joints shall be sealed with pressure sensitive tape or
mastic to prevent air loss and shall be insulated to conform to
the provisions of Section 1005 of the UMC, 1976 Edition.
7/83
2
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature °, elevation ', heating load BTU
elevation factor x heating load maximum outlet capacity gas furnace
BTU
NA
Cooling: Summer design temperature °, cooling load BTU
(USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE)
*2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of
solar panels.
®' DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
7/83 SIGNATURE OirgUILDING DESI R OR APPLICANT
3
FORM
(6)
DOMESTIC WATER SYSTEM
M.--
) Gas Only Gallons
(brand and model number) (tank size)
❑
Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size).
❑ * 2
Active Solar
" (collector brand and model number)
(rated y -intercept)_ (rated slope) (solar fraction)
ft2
(backup heater type, brand and model number) (collector area) -
(collector orientation) (collector tilt)
❑.
Location of Solar Panels
❑
Other
(Describe)
a
:(B) TANK INSULATION. Storage type water heaters and storage and
backup tanks for solar systems shall be externally wrapped with
R-12 insulation or greater.
[�
(C) PIPE INSULATION. The'five feet of pipe closest to the water
heater and outside conditioned.space shall be insulated with a
minimum of R-3. Steam.and steam conditioned space shall be _
insulated with a minimum of R-3. Steam and steam condensation
return piping and recirculating hot water piping outside the
building envelope shall be insulated in accordance with
T20 -1408(d).
(y' .(D)
FLOW RESTRICTORS shall be provided for showerheads and'faucets
as outlined in the new appliance efficiency standards and shall
be certified to the Energy Commission.
/(7)
LIGHTING
(�
(A)'Lamps used in luminaries for general lighting in kitchens and
bathrooms shall have an efficacy of not less than 25 lumens per
watt .(usually florescent).
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature °, elevation ', heating load BTU
elevation factor x heating load maximum outlet capacity gas furnace
BTU
NA
Cooling: Summer design temperature °, cooling load BTU
(USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE)
*2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of
solar panels.
®' DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
7/83 SIGNATURE OirgUILDING DESI R OR APPLICANT
3
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive •' Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT.
ERDM�NO.
CA
ASSESSOR PARCEL NUMBER
58-45-21
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
S0. FT. OCC. BUILDING VALU TION
OWNER'S MAILING ADDRESS
P.O. Box 703, Paradise
CONTRACTOR'S NAME
owner
TELEPHONE
lst renewal permit
CO.NTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
none
UNKNOWN
Total Valuation $
FilingFee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee @ 1 FEE
$ 153.50
ARCHITECT OR ENGINEER
Ken T.Pnhqrdt-
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ ,
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
9931 LOS Ami D 1
Permit fee
$ 163.50
PLUMBING PERMIT
Filing Fee 10.00
Each TrapNrheater
2.00
OrnvillpLOT
Solar or heat pump wat20.00
NO.
SUBDIVISION NAME
PARCEL MAP
Water piping5.00
Each qas water heater
5.00
USE OF STRUCTURE
Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 -
5.Q0SF®
Building sewer5.00
Mobile Home S10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: _
1st renewal of permit #1371-86
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6011 OR LESS
100 AMP OR LESS
10.00
Main service EA. AOD'L 100 AMP
2.50
kONTRACTORS LICENSE LAW
I declare under analf er'ur
p perjury y (check.one):
F1 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-
sation, will do the work,and the structure is not intended or offered
for sale.'(Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ontract-
ors.(Sec. 7044)
ors.
❑ I am exempt under Sec. , Business and Professions Code
for t is reason
NEW CONST. / DWELLING OCCUP.& ,
OR ADDNS. ACC. BLDGS. h0sgft
NEW CONSTR. ULTI.OUTLET
NON.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20®50Q
BAL@30
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities .15.00
Misc. Wiring
g 15.00
Permit Fee $
Contractor
9.
WORKMEN'S COMPENSATION INSURANCE
I declare unde 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.
ice to Appli cant: 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
g
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 Countyot
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, an expenses whic may in any way accrue
nst sai ounty in cons the gra this permit. (y
74Date �1S
99natureof Applicant — 0 ner 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 $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 163.50
occuP.
CONST,TYP1J
I FLOOD
PARCEL
PD I
ND
I ISSUE
This permit is hereby issued under
sions of the Butte County. Code and/or
work indi ated above for which
DIRECTOR O PUB
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been aid.
p
IC WORKS
ate
—19-88
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County•Center Drive, Oroville, CA 95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
R
Phone: 916-538=7541
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit.. No building permit
will be issued until this verification is received.
1. I personally plan to provide the 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
Signed:
Property Owner
Social Securit 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 per-
mitted to issue the permit.
v
COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS E MIT0.
_ 7 County Center Drive - OroviIIe, Cralifornia 95965 - Telephone: 916/538-7541
APPLICATION -AND PERMIT
ASSESSOR PARCEL NUMBER
58-45-21
ZONING
BUILDING PERMIT
OWNER
RICHARD CAMPBELL
TELEPHONE
77-1137
,SQA FT. OCC, BUILDING VALUATION
OWNER'S MAILING ADDRESS ,
P.O. Box 703 Paradise
CONTRACTOR'S NAME
OWNER
TELEPHONE
2nd renewal permit
CONTRACTOR'S MAILING ADDRESS -
Fireplace
{.fffff RUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee @ i FEE
$ 153.50
ARCHITECT OR ENGINEER
KEN LENHARDT
LICENSE NO.
Plan Checking Fee
$
Ener Plan Checkin Fee
Energy g
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS t
2931 LOS AMIGO'S LN.
Permit fee
$ 163.50
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
OROVILLE
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Water piping
5.00
Each qas water heater or vent
5,00
USE OF STRUCTURE
SF)[N Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
50.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: 2nd renewal of permit #1171-86
(1st renewal permit #2000-87)
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1110000001AMR ORESLOLS ESS
P
10.00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under pen Ity 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)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ontract-
ors.(Sec. 7044)
ors.
❑ I am exempt under Seg. Business qnd Pff ofessions Code
for this reason �a � /Zp cif! /��P/ `Dell
NEW CONST. DWELLING OCCUP.8 ,
OR AODNS. ACC, BLDGS. �Z0sgff
NEW CONSTR. MU TI -OUTLET
NON-RESID BRANCH CIRCUITS2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES 20050t
eAL@30
EX. OCCUp. OUTLETSP(RESI0.)R E A.) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. �yirin 15.00
g
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under pe arty 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
Xof Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
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
,Ynwinst s ' unty in s ence'of.t gr ng,of this permit.
r t Date .�%"r�rl —'615
�ignature of Applicant — OwneOC, Contractor ❑ Agent ❑
An OSHA permit is required for excavations ov r 5'0" deep and emolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 163.50
occuP,
CONST.TYP!
ISCH001.1
FLOOD
PARClL
PO
I ND
I ISSu
This permit is hereby issued under
sions of the Butte County Coe and/or
work Indic ed above for ich
DIRECTO 0 U LIC
By
P IT EXPIRES D to 6-19-89
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. `
WNIT!-D.P.W.. YlLLOW-ADeCeeOR, PINK-INeP OR, aOLDlNROD-A PLICANT
COUNTY OF BUTTE -DEPARTMENT OF;PUBLIC WORKS BUILDING DIVISION > `�
7 COUNTY CENTER DRIVE - OROVILLE°CAt�IFORNIA 95965 - TELEPHONE: 916/538-7541 /
PERMIT APPLICATION DATA SHEET
3 Permit No.
OWNER
(t tCVIGi �C( ,G('�'1rI,� b
Ci P. No. On L�
Proposed Building Use /�Fn� W� -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
1. All items have been submitted. . . . . . . . . . . . —
2. Plot plans in duplicate/triplicate, signed by preparer of plans. _
3. Complete plans in duplicate/triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Inlent fl�r LNo.�-Heated and AC Buildings.
8. Fees of $ //I /3 , . , , , , ,
9. Letter of signature authorization. . . . . . . .
10. Sanitation approval from _ 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. . . . . . . . . .
Pre-Inspec.request to (Date)
17. Pre -Inspection for _.. .. _ ._..___ _ Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit. — —
20. Plot plan approval from city of— _
21. _
22. — — — --
When, you issue the permit, process as follows: —Mail to owner, _
Telephone and hold for pickup at office
Mai I to contractor.
_Deliver w/inspector.
Copy of plans sent Health Dept.; Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer<.—n
ner, as advised of above required data byXphone�naiI—counter by�date
Contractor, designer,er, was advised ci above required -data by—phone—mail _counter by date
Plans checked by
Sets of plans on hold in
Copy–DPW
Date Plans approved by
File cabinet AP folder
.r
Date
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) P_5
2. -1 (have/have not) ave- 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 ___ e
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 � ,: J ,-•
Social Security Number
Date
r„ l
r
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.
i
COUNTY OF' BUTTE - DEPARTMENT OF PUBLIC WOR?Z.S
7 County Center Drive, Oroville, CA 95965
Richard Campbell
P.O. Box 703
PAradise, CA 95969'
Dear Mr. Campbell:
With reference to the above subject:
Attached is:
PHONE: 916-538-7.541
DATE December 19, 1988
RE: Renewal permit application #2316-88.
A..P. # 58-45-21.
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
OTHER
We need the following information:
Permit application signed and completed where indicated with all copies returned.
XXX Fees of $ 71.75 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 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
Completed Owner -Builder Verification form.
Recorded copy of deed showing
Recorded copy of agricultural acknowledgement statement.
JL_X.)X OTHERrenewedwithin
30
days
it will not be renewable, a new
-perm- -wli 1 havp *n hp
ap= 1; Pry for to complete
t e
work.
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
File No. �..'
BUTTE COUNTY (For Action 1, 2, 3)
Public Works Dept. (For Information o/ )
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
Bldg. Insp. Admin.
Design Engr.
Bridge Engr.
Constr. Engr.
Surveys
Mopping
Transp.
Land Dev.
Drng. /S.I.
Sub. & Pcl. Maps
Permits
Addr.
January 27, 1989
Richard Campbell RE: Permit Expiration
P.O. Box 703 A.P. #58-45-21
Paradise, CA 95969
Dear Mr. Campbell:
With reference to the above subject, we have been advised by one of our
building inspectors that there has been no work done or progress made on
.your job in over one year.
Prior to proceeding with the project new permits will be required. .This
will require two complete sets of plans and a .new, building permit applica-
tion.
Should you have any questions concerning this matter, please contact this
office.
Yours very truly,
William Cheff
Director of Public Works
Jill
J.F. Glander
JFG:ahb. Chief Building Inspector .
0