HomeMy WebLinkAbout059-091-00859-091-8 & 14
Donelly Walsh
404 Skyway, Stirling City
rcbntr: 'Smith" Const Paradise—
Permit #4179-81B,P,E,M(repair fire
damage/S!),—A-
059-09-1-008 96-1938
HEFTY, MARLON
CONTR: OWNER
17062 SKYWAY, STIRLING CITY
RE TAG ELE SER/SF
k
0
059-09-1-008. J
CONTR: ,GWNER
11062 SKYWAY. STIRLING"CITY
RE TAG BLE ' SERA P x
U
i
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive Oroville, Calnornia 95965 Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT !
ASSESSORPARCEL NUMBER 059-091--008ZONI1x'.TELEPHONE
BUILDING PERMIT
OWNER MARION 1=
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS Tye BOXI 13 STIRLING CITY
CONTRACTOR'S NAME OMR
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER ",. NONE
'LENDER'S
UNKNOWN
Total Valuation Is
Filing Fee
$ 20.00
MAILING ADDRESS
Permit Fee
$
iARCHITECT OR ENGINEER 14ONE
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 17062 Slii'r`AY
PERMITFEE
$
PLUMBINGPERMIT
Filing Fee 20.00
STIRLING CITY
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
V
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New EIAddition ❑ Remodel ❑ Utilities .6 Installation ❑ Other ❑
Describe Work: RE—CON? IL'CT ELEC.tT.IC SERVICE
—
Mobile Home S G W
920.00
PERMITFEE
s
Contractor
ELECTRICAL PERMIT
Filing Fee 20:00
Main Service / a OR LESS
200A OR LESS
23.00 - •
Main Service ( 200A TO 1000A )
46.00
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.
License Class \ LIC. No.
OWNER -BUILDER DECLARATION --
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
La�w f the following reason: `
N� I' as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the strucNire is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. 1
❑ 1 am exempt under Sec. 4 Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
OR ADONS. ( 8 ACC. )
so.
3.50 FT.
NEW CONST. MULTI-OUTLEUTLE T
NON-RESID. ( BRANCH CIRCUITS )
@7.50
/ d SINPOWER APPARATUS )
GLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 Q 1.00
SAL
FIXED APPWS. OR
Ex. Occup. ( OUTLETS (RESID.) EA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PRE INSPECTION
�•
PERMITFEE
$ 66.00
Contractor
WORKERS' COMPENSATION DECLARATION
I 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
d/6f one hundred dollars ($100) or less.).
certify that in the performance of.the work for which this permit is issued, I shell
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
forthwith comply with those provisions.
X ' f!/ /� ✓' G"e- Date 1S_ _' "
Sign`ature�off Applicant - ❑ Owner ❑ Contractor O,Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE
$
Contractor
Mobile Home Installation Fee $
Energy Inspection Fee
Is
Occ
CONST. TYPE66.00I
TOTAL FEE $
HA2.
I D. FEES
IMP FLOOD
CDF PARCEL PD HO
ISSUE.
.-�
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By ' 1
PERMITEXPIRESON
I
applicable provisions
Resolutions to do work
been paid.
Date
(Date)
Receipt No. LVLJ:)L
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
JDEPARTMENT OFfDEVELOPMENT SERVICES
BUILDING'DIVISION I
.. NOTICE
Post -this job card in a safe conspicuous place. Do not
remove until all required inspections are made and
building is approved for occupancy. Plans must be
available on the job site. _
059-09-1-008
HEFTY, 'NARLON.
CONTR: 1JOWNER '
17062 SKYWAY, STIRLING CITY..,
.... RE,.TAG ELE SER/SF
PERMITTEE MUST CALL
FOR INSPECTIONS ;
Piers _
Underground Conduit
Pre-Gunite
' Oo Not: Pour Concrete:Until.Ab.ove. Signed
Underfloor Plumbing
Underfloor Electrical
Underfloor Mechanical
Underfloor Framing
Slab
Do Not lnstall'Flooror Slab UntilAbove.;3igned
Rough Plumbing
Rough Electrical
Rough Mechanical
Framing
Shower Pan
Do:Not;.Insulate::Until Above` Signed::;
Insulation
Do:;Not ,Cover: Until A ove:: gne
Fireplace Footing
Fireplace Throat
Do. Not;Contmue'f replace'; Until Abave Signed
Stucco Lath
Scratch and Brown
Do:Not'; Cover, Until Above: Signed
Sewer Service
Water Service ,
Pool Final ,
Plumbing Final
Electrical Final
Mechanical Final
Building or M.H. Final
DO NOT OCCUPY -UNTIL
ALOI-I •ABOVE IS SIGNED
AND THE BUILDING'OR MOBILE HOME
IS APPROVED'FOR OCCUPANCY
;Addresses >. <:Information 24`=Hr Ins`
Oroville 7 County Center Dr. 538-7541 538-7636
Chico 891-2751 891-2834
Revised 7/94
i
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT.NO.
APPLICATION AND PERMIT 9/",5 — �:3e?
ASSESSOR PARCEL NUMBER 059_N3 -W8
ZONING
BUILDING PERMIT
OWNER HAWNHEM
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS P1 BOX 13 MIMING CIT "
CONTRACTOR'S NAME OWER
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER-' IIp NIE
UVJ Li
UNIGIOWN
Total Valuation $
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER NONE
11
LICEISE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
�
Penalty
$
BUILDINGADDIR S 17062 SKYWAY � i
PERMITFEE
$
STIRLING CITY
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
t,
Solar Or heat pump water heater
23.00
USEOFSTRUCTURE
X
SF ❑ Duplex ❑ Mobilehome ❑ Other
` SPECIFY +
Water piping
15.00
Each gas water heater or vent
15.00
Gas I
PIn
piping system 1- 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK i
New ❑ Addition ❑ Remodel ❑ Utilities tp Installation ❑ Other ❑ 'L
Describe Work: RD-COxxr, ELECTRIC SMICB �
- I —
'
Mobile HomeS G W
@20.001
PERMITFEE
$
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service OOOV OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
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.
License Class_ Lic. No. L
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law Lot the following reason: "? ;
I, as owner of the property, or m�y�employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for s$le.
❑ I, 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
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. BUDS. )
SO.
3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
8 SINGLE OUTLET CHR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL .50
Ex. Occup. ( OUTLETSE(RESIo.°ew)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
•
PERMITFEE
$ •
Contractor
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.
❑ I 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
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number H
/The above sections need not be completed if the permit is for work of a valuation
❑ one 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
forthwith comply with those provisions. ;�
Xe" �'�""'��' �Date ..+ H!' 1 C
Si 6ature of Applicant - ❑ Owner ❑ Contractor E],Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
ofstructures over 3 stories in height. I
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE•
TOTAL FEE $
HAZ.
I D. FEES
IMP FLOOD
CDF
PARCEL PD
HD
ISSUE
�.�
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
,j------� - -
By // 4
PERMITEXPIRESON t i'
applicable provisions
Resolutions to do work
been paid.
tt Date �I '
/^ rf/ 0 %
(Date)
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT _
ASSESSORPARCELNUMBER 059-091-008
ZONING
BUILDING PERMIT T7�
OWNER MARLON HEFTY
TELEPHONE
SO. FT. OCC. BUILDING VALUA N
OWNERS MAILING ADDRESS PO BOX 13 STIRLING CITY
CONTRACTOR'S NAME OTRIER
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER r1w0NE
UNKNOWN
Total Valuation is
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER - NONE
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 17062 SKYWAYPERMITFEE
$
STIRLING CITY
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LAT NO.
SUBDNISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF ® Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities k] Installation ❑ Other ❑
Describe Work: RE—CONNECT ELECTRIC SERVICE
—
Mobile Home IS I GI W 1
920.00
PERMITFEE
$
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service ( 000v OR LESS )
200A OR LESS
23.00 23.00
Main Service ( 200A TO 1000A )
46.00
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.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Lathe following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, 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
NEW CONST. DWELLING OCCUR
OR ADDNS. ( 8 ACC. BIDS. )
s0.
3.50 FT.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES)
20 @ 1.00
BAL 0 .50
Ex. Occup. (OUFIXED AP UNS.
TLETS (RES ID )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PRE INSPECTION
123.00
PERMITFEE
$ 66.00
Contractor
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
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
he above sections need not be completed 0 the permit is for work of a valuation
one hundred dollars ($100) or less.)
UP 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
fo it comply with th a provisions.
X Date _—
S' ature of Applicant - ❑ Owner ❑ Contractor �,Ae�Fit
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee Is
occ
CONST. TYPE
TOTAL FEE $ 66.00
[of
HAZ.
1 D. FEES
I IMP
I FLOOD
CDF PARCEL PD HD
JISSUE.
This permit is hereby issued under the
the Butte County Code and/or
indicated above for which fees have
By t
PERMITEXPIRESONTD.D.S.-B.
applicable provisions
Resolutions to do work
been paid.
Y" %
DD�at f LD
(D e)
rReceiptNo. 202552
D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APFLICANT
M
+iti+'yt+k.'*�{1?'„'sK""�y�7/,+�•r""�r"yi*v:'r":a'r�P"d'4„�.dj_h'grK"'�l��l�M'�.`�i�z .r�*�H�i;K�9'r41=sir%+it3�i�.'�:',��ii4R:"M!dav'�+jC11�`�f}tiiir%a4`fi"�M•rc^'C•�"h^,,...-
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
• y a(M
7 COUNTY CENTER DRIVE - OROVILLE CALIFORNIA95965 - TELEPHONE (916) 538-7541
OWNER
Proposed Building Use
PERMIT
mar% ✓1.
APPLICATION ®ATASHEET
I. -
re
A P o.
Building Inspector Date a
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED
BY
1.
All items have been submitted . ................. .................
2.
Plot plans, 3/4 sets, signed by preparer of plans. ... � .................... .
3.
Complete plans, 3/4 sets, signed by preparer of plans . ......................
4.
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5.
Hazardous Material Form . ............................................
6.
Energy Design Compliance and supporting documentation . ..................
7.
Statement of Intent for Non -Heated and A/C Buildings . ......................
8.
Engineered truss details and layout in duplicate (required prior to plan check). ....
9.
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10.
Fees of $..........................................
11.
Impact fees as shown on attached schedule. ............................. .
12.
California Department of Forestry plan approval/fees. ........................
13.
Flood elevation letter (100 year flood) by California Engineer . ................. .
14.
Sanitation and plot plan approval Health Department . ............
15.
City of Chico plumbing permit . .........................................
16.
Plot plan and business license approval from City of Biggs/Gridley. ..............
17.
Planning approval for (A) Use: (B) Parking: . .........
18.
Contact Land Development.about (A) Improvements (B) Drainage. .......... .
19.
Driveway permit (construction approval required prior to occupancy). .. .
Pre for P�a"n�qu�
20.
-inspection required. . . to Building Inspector
(Date)
21.
Contractor's license information. (No., Name Style, Classification) . ..............
22.
� 23.
Certificate Workmans Compensation Insurance. ........................
Owner -Builder Verification (Given to owner Mailto to owner _). ....... . . :
24.
/_25.
Recorded copy of Agricultural Acknowledgement Statement . ................. 1
Letter of signature authorization.........................................�
26.
Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... '
27.
Letter of intent on building use . .........................................
28.
Mobilehome utility clearance . ..........................................
29.
Documentation of legal access . ..................... :..................
30.
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31.
Existing violations/expired permits . ......................................
32.
Plan check list . .....................................................
33.
34.
When�tou issue the permit, process as follows:-iatt-io-owner' Mail to contractor.
►/ Telephone x�3 ysY,2 and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
08/26/1996 15:01 FROM DONS SAW & MOUCR SER TO 5382140 P.02
-6 x
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.
I. 1 personally plan to provide the- major, la r and materials for construction of the
proposed property improvement :YES NO[ j.
2. I HAVE[ ] HAVE NOT signed an application fora building permit for the
proposed work
3. I have contracted with the following person (firm) to provide the proposed
construction:
NAME:
ADDRESS:CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to
coordinate, supd provide the ma' work:
NAME- e, anOl/
ADDRESS: oA-CITY: C
PHONE: CONTRACTOR'S LICENSE NO
5. I will provide some of the work but I have contracted (hired) the following persons to
provide the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
SOCIAL SECURITY NiJMBER
DATE: �� b
NOTE: This owner -Builder Verification is required by Section 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.
/�l�c� TIe ly OVER
08/26/1996 15:00 FROM DONS SAW & MOWER.SER TO 5382140 P.01
v
eYl "Illy-
LOCATION:
CONTRACTOR D ��
PRE-1NSPECTION FOR
ORY• [ ]NONE
1
r
MAS FOLLOWS: " lF
F,%e
�
ZONING:
C&
DATE TO INSPECTOR: -0/ a 7
HIST
i
TY!'E OF OCCUPANCY:` -
BUILDING INSFECTOWS REPORT
wilding Description:
[ J
Commercial/Usage:
[ Residential/# of Units: J ;' Mobile Home: Yes[ ] Nq
I[ ] Currently Occupied.
[ ] Abandoned/Vacant.! -
[xTYes [ ] No
Electric is currently : [ ] On
f 1 ctrical�
(4 Off
i
Condiuon o e e
IL
Natural [ ] Propane[ ] Nonej�Sj Currently On[ ] Off[ ]
Obvious problems:
tion:
Plumbing working Yes(�-j No[ ]
Well: Yes[ ] No[*
Obvious Sewage Problems:
ction Recommended: w Issue
r:
f
Potable water: i.. e!�)4 No[ ]
[ ]Hold for:
Date:
+f PERMIT NO. _ 4179-81B,PE,M
• PERMIT EXPIRES-
OWNER
XPIRES OWNER Donelly Walsh
CONTR. Smith Const., Paradise
ASSESSOR PARCEL 59-091-8 & 14
LOCATION 404 Skyway, Girling City
• Y
j
f.
i
Temp. Power Pole
Called PG&E
Temp. Elec. Service
y Called PG&E
e
Temp. Gas Service add
Called PG&E
JOB FINA D (Date) 2'
l
Signature
i
r
J = OK
0 = Not OK
Not Applicable ;
= Not Ready ) +
RESIDENTIAL'(Single and Duplex)
Date
UNDERFLOOR Plans OK exce t#'s
Date FRAMING Continued
1.
Zoning requirements -Setbacks -Easements
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- /„ /" Ftg. DepthStairs;
Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
q..5
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab -
Siding -Nailing -Veneer
6. Stemwalls, Garage' eel -Bloc uts-Wrapped-Slab
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fire a -Ft t 7 - .
8. D.W.V.: ll -Fittings -Test -2 way C/O -Sewer Test
Glazing Area -Glass Protection -Skylights -Plastic
5. Shear Walls; Nailing -Bolts
9. Gas Pipe; ' e -Anchors
10.
Water Pipe, Test -Anchors -Regulator -Service Test
•11.
Electric; U erground
12.
Plenums & cts; 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 IElans) OK except N's
Card -BI Date Card -BI Date
Date
PLUMBING (Pe it) OK a cept q's.
xt. Steps -Door & Sidelight Protection -Landings
S ke Detector
14.
Water Ht.; V nt-Access-Combustion Air9B,-'Furnace;
Vents -Clearance -Comb. Air -Connector -
1rrGarage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Vst & Anchors -Nail Protection
16.
D.W.V.; Test Fttngs & Anchors -Nail Protection
Bedroom Exiting
17.
Shower Pan; T st, First Floor -Tub Access
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Sh er, 2nd Floor -Tub Access
. Elec. Trim & Subpane ; Rreaker Sizes -Labels
19.
Gas Pipe; Size Anchors
•-6P.-Sfairs & Rails ,
f irepI ce or Stove; Clearance -Hearth
64e-Siec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
-Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
-.6&-Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except k's
'-67,-Garage Fire Door; Swing -Landing -Closer
X68-A.C. Duct in Garage -Damper
2 4
Fixture & Transformer Clearance -Ins. Protection
_Bg.-Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
2
Elec. Receptacles Spacing -Lights & Switches at Doors
�n Elec. &Mech. Equip. Listed for Location
2
Size Boxes & No. of Conductors -Stapled
-7.. ec. Receptacles in Garage; (G.F.I.)-Romex Protec.
2 Romex Installed Close to Edge of Studs & C.J.
2
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
Insulation -Foam -Looked in Attic E] Yes
2
2 Appliance Circuits in Kitchen & Conductor Size
Rails & Deck Construction -Post Caps
-
2
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
"- &-Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, A-7FirFt7llowing
Insulated Neutral ❑Yes El No
instld.: Drive .❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes []No
2).
Service -Riser Conductors & Ground -Main Disconnect
-44 Stucco; Brown -Finish
2).
Equip. Clearances; Panels-Motors-Mech. Equip.
-,77-'A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
3).
Clothes Closet Light -Shower Light
-78-Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
-
7 -water Well; Disconnect, Electrical, Plumbing
-80-15kterior Elec. Trim; G.F.I. Receptacle -Underground
Card B I
�
Date / Q 1 Card -BI Date
-B�Gentilation throughout House
-Z2-Glass Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Perm't) OK except q's
-89-Corrections from Previous Inspections
`83 -Cas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insul 'tion & Support
ter & Sewer Connected -C/O to Grade -HD Approval
_ 32._
Vent Fan; Exhaus above Insulation
g Energy Compliance Certificate -Other Certificates
33.
Condensate Drain Overflow; Size & Grade .
_
34.
Furnace -Vent; Acc ss -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Plat rm if Furnace in Attic
Card -BI ( Date Card -BI Date
Card -BI
-.__
_Date rd -BI Date
Card -BI Date and -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Date
RAMING(Plans) OK except R's
Commeats at Final:
Sills; Proper Material & Anchors
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing_Walls over Girders & Floor Nailing_
_Draft
Stop in Walls (rat proof)
0.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
_
1._Header
2.
4 .
& Beam -Size & Bearing_
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Tr s-Shthng.-Rfnp.
Fireplace Ties or Type A Flue-Firep Tat
_
45.
Attic Access: Size & Rom_ex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit jobsite)
= OK
= Npt OK
= Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) �_ ,xcept k
1, Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg. -Bracing__
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc,ua„ ies
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except H's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
_
Date Card -BI Date
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure: Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4• Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/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 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
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSAT TALLED WINO.,ORMANCE WITH CU GY L SiCLATIO�j E�IONS•
BUILDING PERMIT
A:P. NO. j V— 49/-FQ)-/�
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge N/,, g -
Fdn. Walls
Floors A
Walls i--
Ceiling/Roof L�
Ducts AV
Circulating Pipes 1019
APPROVED HEATER
APPROVED WTR. HTR.
GLAZING:
Single GlazedN,10
Special (Insulated
CERT. & LABELED WDS.
& SLIDING DRS. /U//i
WEATHERSTRIPPED DRS. ry//?
BACK DAMPERED FANS A
INTERMITTENT IGNITION JEVICES
CERT. APPLIANCES /✓//�
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 Applica
Signature of
Insulation Appl
General Contractor/
Signature of
General Contractor
le se_print)
State Contractors
lease print)
-- Date 3--✓�O� �2_
State Contractors
License No. ,j' 6//:2
THIS CERTIFICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
f
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK PERMIT�NO
7 County Center Drive - Oroville, California 95965 - Telephone 916/53 541 G// �77- —g/
r� APPLICATION-AND 'PERMIT / CCC!!
ASSESSOR F ARCEL NUMBER
_(, — $ /I/
ZONING
BUILDING PERMIT
oV&JE/ / 1���
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
P
OWNER'S MAILING AADDRES(/S/,Iv/
CON$v/
TELEPHONE7j/AME &WJ/ P_,iV✓77OAJ
CONTRACTOR'S MAILING ADDRESS
�AW�/� %72y40/SECo/
j��
Fireplace �(,J/� $
ZS O O O a
CONSTRUCTION L N
U KNOWN
Total Valuation $
5000..oc7
Filing Fee
$ 10.00
LENDER'S MAI ING ADDR S�i�r'v
mar,
Permit Fee
$ ,
ARCHITECT OR EN
Plan Checking Fee
$ 7
Penalty
$
ARCHITECT OR ENG I R'S MAILING AD RESS
Permit fee
$ �j , Z
BUILQING,A DDFj�S$ �1 A)
HJT/"/✓�`///� V�"/!�/�Y
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
/ 2.00 2. d O
Repair drainage or vent piping
5.00
5ZZ�
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
,--,/ USE OF STRUCTURE
SF L� Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New❑ Addition I--] Remodel❑ Utilities Insall tion❑ Other
Describe work: �� 4919"_144c— �
�J� // �,/� ,/ /J 7�
FiV �� ✓G �PG/Ci (`C��t/ J S�/L (/
Permit Fee
$ MOO
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
- /0100
)9 -SOA/
A4)9 -SOA)
Main service EA. ADD'L 100 AMP
2.50 2.. ;O
NEW CONST. ( DWELLING OC
OR ADDNS. ACC..BLDGS,
2O S ft
q r
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.
✓I
License No. �y-� Classification - I.J —
❑ 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.RES,.,
CO ID R. IRT
BRANCH CCITS 2.50 ea
NEW CONSTR.
(POWER APPARATUS e
NON -REST D. SINGLE OUTLET CIR,
so @ 28¢
Ex. Occup OUTLETS OR FIXTURES BAL.@1
Ex. Occup.(OUTLETS P(RESID )REA. 2.00
Temporary service 10.00
Mobile Home Faci ities 1 15.00
Misc. Wiring 7.50
Permit Fee $ .3
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
$ r Od
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, and expenses which may in any way accrue?
against aid County in consequence of t granting of this permit.
X Date
Signatur sof Applicant — Owner ❑ ntractor 1a Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 33storriies in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ 3-22-90
OCCUP. GROUP
3
I TYPE OF CONST.
-V�
PA 7L
✓
ND
ISS E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above or which
DIRECT RF PUBLIC
ByDately
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
/%I'/ —7 a--
✓D
Receipt No. /
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
,... _ i c... till "`^�' >'^:� '�=� ;-�,• "(.
09 °�
tg ;�F