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061-490-017
�`] !o%� 7 - l/ / i Gillis Gough _i ��. ../�_ S/S Cameron Dr, app i mi. W of Foreman Creek Rd, Oroville Permit # 2782-82B,P,E,M(new SF) contr: Nelson & Nelson,Oroville J 61-49-17 WILLIS GO�J e po v d 99 Geer, Berry Creek CIPS detached garage) 61-49-17 C ontr: Burtenshaw Const Permit#663-88B,P,E(addition & conversion SF) �n� 117 1488-90B,E dd - GOUGH, Willis _ S 99 Cameron Dr; Berry Cree' (garage/sf) 061.=490-017 PERMIT#95-0937 GOUGH, Willis 99 George Cameron Way, Orovi e _ Cont: George' Roofing p reroof/SF% COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDING/DIVION 7 .County Center Drive - Oroville, CalNnia 95965 - Telephone (916) 538 - APPLICATION AICD PERMIT V - ASSES$P P °�"""R _ v + 7 ZONING t BUIL NG PERMIT' '� NER tAIG (`� 15 ( TELEPHONE`S SO. FT. OCC. / BUILDING V/A�LbAATION .•� I • v v OWNERS MAIUSNGAD'DRESS Ct C r rl &1h -LJ' . CONTRAOTOti:S' NAME ^/� � ��.� T :,+' r *• .: �...i.... M1. ..'.1. -, +,., .. , , ... o �- 4 lel .�r. yTELEPFRINE7-V.-- !j CONTRACTOR'S MAIUNG,y� DR,.ESS jCK, ( I Fireplace CONSTRUCTION LENDER( I UNMOWN I Total Valuation $ !,/ 0C>_ Filing Fee $ - 20.00 LENDERS MAILING ADDRESS Permit Fee $ (j ARCHITECT OR ENGINEER LICENSE NO. t Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS s •- ` ' -z r 2 PERMITFEE $ r • , ��, �/ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME / PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE 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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe'1Nork: l=} ! �� _. , .��. ;�'� �.• -ter' ,��., _.,,1 Mobile Home ISI GI W @20.00 j j ,,,PERMITFEE, $ - Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service a0OV 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 infullforce and effect. `. !_ // License Class �� Lic. No. -} Ile- OWNER -BUILDER DECLARATION ...:.- I hereby affirm under penalty of perjury that I'm exempt from,the Contractors License Law for the following reason: '"" `; w ❑ 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 s0. OR ADDNS. ( & ACC. BLDS. ) 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 6AL .00 EX. OCCU FIXED APPWS. OR p ( OUTLETS (RESID.) EA) , , . 5.00 . Tem ora ""Service'., ., . ..,r _ p ry 23.00 -Mobile Home Facilities 20.00 Misc. Wiring 23.00 " PERMITFEE $ 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. thea - 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 c yner and policy number are: . Carrier �. t if f'l MECHANICAL PERMIT Filing Fee 20..00 9 Heating a Cooling Hood•i; ' _ `=t6.50 -' Ventilation 1R " PERMITFEE $ Contractor Policy Number 'J j>% (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 1he Labor Code, I shall forthwith comply with those provisions.' X fir- � J —_���—��"---- Date I – �� — Sig atur of Applicant - ❑ Owner ❑ Contractor�.Agent 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 $ C// , v HAZ. D. FEES I IMP I FLOOD CDF PARCEL PD I HD ISSU This permit is hereby issued -under the applicable provision§' of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By L Date 3/0 T �- PERMITEXPIRESON (D e) Receipt No. dC/t 0 ! WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 11- COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGDIVI ON 7 County Center Drive - Oroville, Califor�ta 95965 - Telephone (916) 538-7 1 PERMIT NO. APPLICATION AND PERMIT ASSESSORP D NUZONING BUITINGPERMIT OW 1 C UXIJ NE ,I' 1 I J l� N _ SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADQRESS ' 00 CONTRACTOR'S NAME G TELEPHONE CONTRACTORS MAIU DRESS Fireplace CONSTRUCTION LENDER UNKNOWNTotal Valuation $ !�/ O LENDER'S MAILING ADDRESS Fling Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ SUILDINGADDRESS 99 PERMITFEE $ PLUMBINGPERMIT Filing Fee' 20.00 Each Trap 7.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFI 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 ❑ Ufilibes ❑ Installation ❑ Othe Describe Work:_ Mobile Home S I G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service OOOV OR LESS ( zooA 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 i full f r 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 for the 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 OCCUP. sO. OR ADDNS. ( a ACC. BLDS. ) 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 sAl so Ex. Occup. OUTLETS PLN .OR ( ) 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. ❑ 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' compe S�Ion i surance cf1riera d pglicy number are: Carrier �� O ( P ' _/y MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number =-Z�Q q (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 forth'w' comply with those provisions. ('--� X—_ Date L Sig atu of Applican - ❑ Owner ❑ Con tractoC,__6.Agent 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 f� TOTAL FEE $ v HAZ. D. FEES IMP FLOOD COF PARCEL PO HO 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. r By Date r 18 PERMITEXPIRESON (DA) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT • { .'�T. :�' �:4.0 • w'AT •..• -i. 1 eft,. ;..n u: �.0 •. ..K y.-- .. .•.r .•r,.. RESIDENTIAL • a 61-49-17 1488-90B,E GOUGH, Willis 9 Cameron Dr, Berry Creek (garage/sf) 5 l I 3 r I C e k • J JOB FINALE Signature I 1 J=OK O = Not OK - = Not Applicable =Not Ready ' MOBILE HOMES ' ` Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P'L" ft. / P'Nat. or/ /' L" ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans)•OK except Ws 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances S. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPOR GARAGES,(Flans)OK except #'s V. Zoning Requirements -Setbacks -Easements _ IX. -Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2P=Beeks;'C+riders and/or Joists -Decking -Bracing -Stairs -Rails +-W0 Wftn.; Posts-Beams-Rftrs -Connectors Shthg.-Rig.-Bracing 5=Alum awn • Columns -Connections -Splice -Decal -Enclosures 6-8arportu-Windows-Doors A-Sfmg-Sits-Anchors-Studs-Rftrs-Trusses &.-Siding; Nailing -Veneer -Stucco -Mesh of; Shthg-Roofing &$eT al 'Steps -Doors -Landings Date O Card B-1 Date fe (, ,5 Card B-1 Date Card B-1 Date Card B-1 Date POOLS Plans _dk except We 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' =' Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49 Bdrm Windows or Exiting Doors -Sill Hat & Dimensions 6, Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearinq (NOTE: An entry must be made each time you visit job site) 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 57. Glazing Area -Glass Protection -Skylights -Plastic. 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) F COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION ANDYERMIT PERMIT NO. ASSESSC '... CEL NUMBER 61-49-17 ZONING U BUILDING PERMI OWNER Willis J. Gou h '589-2551 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDR ESS 99 Cameron Dr. Berry reek 95916 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 99 Carrit-ron Dr. Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP L p Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF MK Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ AdditionIq Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: add garage _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORLESS 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 —,( 1J�(I I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUR.&OR ACDNS. ( ACC. BLOGs. ) 2 I h¢sgft NEW CONST R. RANCH CIRCUITS) NON -R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 ®50¢ 9ALe 30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 4yirin g 15.00 15.00 Permit Fee $ 25.00 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. IPI I shall not employ any person in any manner so as to become subject �A! 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 Coolin 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 consequence of thegranting of this permit. ' „ 9a Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE AL E TOTAL FEE $ 6.75 HAz CUA PARK PA PD ,HO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC P MIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS 7 Receipt No. WNI T6-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT •1 TO Buildinq Department FROM: Environmental Health- SUBJECT: ealth-SUBJECT: Sanitation Clearance rooct Owner U Location Ap# Plan Approved for: Sewage Disposal ._ Water'Supply Hold final for:, Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other C� NOTE * ,r Af Sariitarian D to 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—mai I counter by, ~-..date Contractor, designer, owner, was advised of above required data by—phone —ma lII counter,by date Plans checked Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date r. COUNTY OF BUTTE - DEPARTMENT•OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFAyNIA 95965 - TELEPHONE: 916/538-7541 / f PERMIT APPICATIQN •DATA SHEET �•` �; s Permit No. OWNER 7-1 A P. No. "' 7 %l Proposed Building Use �� A9, IIRPiuquilding InspectoDate 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) r 9. Mobilehome installation data including manufacturer's installation instructions....................................................... ;. 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... :W3. 1 4: School District fees paid .............. Sanitation approval from Health Department —� 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required . , , Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .......... - r� 23. Owner -Builder Verification (Given to owner ❑, Mail to owner 11) ...... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. ' 27. When you issue the permit, proces as follows: Mail to owner. Mail to contractor. Telephone 5—E Ste/ and hold for pickup at m office. Deliver w./in4ector. Other p s^��^ Applicar Date /o 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—mai I counter by, ~-..date Contractor, designer, owner, was advised of above required data by—phone —ma lII counter,by date Plans checked Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date /I --('l 7COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS / 7 County Center Drive - Oroville, California 95965 - Telephone: 916:'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PA C MBER OWNER 1 60 U �, �� �- ZONING BUILDING PERMIT T E SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDR SS (L� �) CON R. TORS N E -C EP N CONTRACTOR' AILING ADDRESS Fireplace CONSTRUCTION' LENOER UNKNOWN Total Valuatio n $ � LENDER'S MAILING ADDRss _.�_._. _..... _ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee �.._ _ _ _ $--1Q.00— , Permit Fee $ Plan Checking Fee a t ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS �0� Energy Plan Checking Fee $ Penalty $ r Permit fee $ t PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 2 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFb< Duplex[:] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 o is 5.00 Building sewer1 1 5.00 Mobile Home S I G I W 0.00e TYPE OF WORK New ❑ Addition Remodel ❑ Utilities [ Installation❑ Other ❑ Describe work: r1'� I�/-�/C1l x!51 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AIAP ORLESS 10,00 ' CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Bu$Ine$$ and Professions .Code and my license is in full force and effect. License No. Classification ElFIXED I, as the owner, or my employees Wlth 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- 7044) _- ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD -L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.y , OR ADDNS. ( ACC. SLOGS. ) /2¢sgft NEW CONSTR.ULTI.OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e) l SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES eLO 30 2AL030 . OR Ex. Occup. OUTLETS Ts IRRESEST D,) EA.) 2.00 � Temporary service 10.00 Mobile Home Facilities 15.00 00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ i have placed on file with the County of Butte 'Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. - ❑ I shall not employ any person in any manner so as, to become subject to the W. C. laws of California. i. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contr aLUyr 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. also agree t0 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 thean grting of this permit. S =� X Date Signature of APpllcan Owner❑ Conrrecror ❑ • Agent❑ -� rAn 0$HA r y _ M 4 permit Is required for excavations over 5 0 deep and demolition or construct -Ion of structures ver 3 stories In height:. _. .'C�.t Mobile Home Installation Fee $ Energy Inspection Fee $ h 0 CONST TYPE _ ' TOTAL FEE $ 4 HAZ CUA PARK SCHL _ PLO PARPD HD ISSUE " This permit is Hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work Indicated above for which, fees have been paid. r_ DIRECTOR OF PUBLIC WORKS Y I .�a y. y.. j.. .. � .�- .r i� .I :rr " B __ ^ "'--'Date PERMIT EXPIRES Date A.w'�: -..'.." .f lYi°-, -c •' Receipt No a: _ , its r r : � t.r '9=WNrTC-D. r. W.,7Cl LOW A9ECS 7011, PINK-INSPCCTOR, OOLOF. NOD-APrLICANT _ y , COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 -, , , 11 OWNER -BUILDER VERIFICATION Attention Property. Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement '(yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3.. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: , Property Owner Social Security Number Date �"�'�— l�'O 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. ----------- 4 4 Y Z17 -_Y It - V g S 7G� 4 - :7- A11Mater & WorkmanshipShall Brie A—cco-71 ante WW'R WIIzfjUk3WV N lizeu k3w _7 F e. p ity prescribe aqua dwand Oili�66,-Plumbing I,Co an 1-_EIbctricalbod6- m TNS'set of n k1- ' ';PeclficaffOns MUST be.. OPt on thejo t ji es-and-449,unla make any'– '-' -- wfW-t6 Char esdr-alera-tions'on' written P-e-rm"_" same without issi n fro M -the DePartment of Public Works, C r7 e u . -P 4� bin M han ountY E�Me.- - TT TY WJV, NG1 a..EP.4 :rMENT -0 V 01. G) A setback of 5 ft. from the _j Property lines and a setbac! of 50ft. from the road N. centerline shall be clear of • �A structures or equipment except ;;3 for a 2 ft, eave overhang. C (E 4x 0'a a 4 4- jrA,-,q -F .-4r TT TY WJV, NG1 a..EP.4 :rMENT -0 V 01. G) 34 C71 q. SZ -4 3 3-b :50to ti G:e , ieeL Pe4Ao Provide 1/2" x 10" anchor bolts @ 6'0.C. max. and within 12" of joints. --BUTTE COUNTY BUILDING DEPARTMENT APPR0V-ED _ L i llb 1 D' M- 1 D PFM j_w-g SPECIAL ROOF COVERING REQUIR ®, CZC4 rf 'tC I fh/ - - - - - - Z o Q CO.;h P Sly $-1U t �, ax WOO y .`SRR _ v/ ll �I rq x1 -L:1 3{� r Provide 1/2" x 10" anchor bolts g Pf� ide adequat @ V O.C. max. and within QX0 Bo�� 12" of poi ts. t2- X y� i�Req Tc o bractflg, - b Cowcec-e STew. wa /I BUTTE COUNTY sTe�L BUILDING DEPARTMENT A P P R ON E bractflg, - b Cowcec-e STew. wa /I BUTTE COUNTY sTe�L BUILDING DEPARTMENT A P P R ON E PERMIT NO.. 663-88B , P , E PERMIT EXPIRES��� V OWNER WILLIS GOUGH CONTR. Burtenshaw Const ' ASSESSOR PARCEL 61-49-17 LOCATION 99 Cameron Dr, Berry Creek �r 1 i . r ' a r 1 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E tTemp. Gas Service Called PG&E i JOB FINALED (Date Signature = OK o = NotOK RESIDENTIAL (Single and Duplex) - - =Not Applicable = Not Ready Date UN FLOOR (Plans) OK except #'s Date FRAMING (Continued) (NOTE: An entry must be made each time you visit iob sitel "r. Zoning requirements -Setbacks -Easements 1124. H�ers-Post Caps -Anchors -Connectors g., Main; Soils-Steel-Elec. Grnd.-(„2 /" Ftg. Depth 6rCing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4 . Fire lace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth . ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped a ge Fire Protection Framing 7. Slab; Steel -Wrapped 15 . ro erty Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel oors-One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test tWSt irs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors L5a"Plyywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test iding-Nailing Veneer 12. Electric; Underground acc6 Mesh -Drip Screed -Fd. Vents-Underfir. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. (, GI ing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts-Joists-Vents_Cripple`s . Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -B Date3/I � Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date S Card -81 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s .Mater Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s [Yf. W6ter Pipe; Test & Anchors -Nail Protection fxt. Steps -Door & Sidelight Protection -Landings Af'D.W.V.; Test-Fttngs & Anchors -Nail Protection —�61. Smoke Detector :-1 ower Pan; Test, First Floor -Tub Access -r%2-T`urnace; Vents -Clearance -Comb. Air-Connector- In Garage; Above Floor -Ducts -Mach. Protection -29.Test Tub & Shower, 2nd Floor -Tub Access --Ri-Gas Pipe; Size & Anchors a63 --Bedroom Exiting —STITRT & Bath Fixtures & Tub Access -Spa E . rim. & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date S ��� Card -B1 ' Date Card -61 Date irepl ce orlStove; Clearances -Hearth Date E RICAL (Permit) OK except #'s —'Etec. Outlets at Wood Panel; Int. & Ext. 2. fWure & Transformer Clearance -Ins. Protection — 9-4ftt-.Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance Receptacles Spacing -Lights & Switches at Doors -?—&-Efe�-Outlets & Receptacles at Kit. Counter e Boxes & No. of Conductors -Stapled '7i"G`drage Fire Door; Swing -Landing -Closer Or,�omex Installed Close to Edge of Studs & C.J. .C. Duct in Garage -Damper 426. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- Irage; Above Floor-Mech. Protection'Appliance e2•Y. ?Circuits in Kitchen &Conductor Size .Plb., Elec. &Mech. Equip. Listed for Location �-PB Cu or feedWire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or AlAI eceptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. "`' Insulated Neutral Yes No nutation -Foam -Looked in Attic ❑ Yes _ El7!. y Rails & Deck Construction -Post Caps A42rvice-Riser Conductors & Ground -Main Disconnect 6,8!Pdn. Vents & Crawl Hole Door -Drainage Wood -Earth Clearance Looked under Floor Oaf Equip. Clearances Panels-Motors-Mech. Equip. -'32.--Clothes Closet Light -Shower Light -Spa Light X79• Following instld.; Drive s ❑ No; Walks es ❑ No; Planters ❑ Yes ❑ No Card -131 Date i Card -61 Date Stucco; Brown -Finish Unit; Disconnect, Electrical, Plumbing Card -131 Date I Card -B1 Date 12E'Gents Above Roof; Plbg.-Appliance-Firepi.-Clearance to Openings. Date ECHANICAL (Permit) OK except #'s Well; Disconnect, Electrical, Plumbing A.C. Ducts Insulation & Support -18<.t6terior Elec. Trim; G.F.I. Receptacle -Underground 4. Vent Fan; Exhaust above insulation I e9tilation throughout House 5. Condensate Drain & Overflow; Size & Grade t8o gla6s Protection 6. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 4ff-9ections from Previous Inpections 7. Attic Access & Platform if Furnace in Attic 48RGas est -Meters Tagged; Gas -Electric at Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates Card -81 Date Card -131 Date Card -B1 Date Card -61 Date Card -81 Dat Card -B1 Date Date FR#,MING (Plans) OK except #'s Card -B Card -131 Dat Card -B1 Date Date Card -B1 Date .,Sills, Proper Material & Anchors alls Studs-Nailing,S acin & Bracing—Plates-Sound •� Spacing g—Plates-Sound Comments at Final: . fearing Walls over Girders & Floor Nailing pfaft Stop in Walls (rM proof) Ve Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit iob sitel = OK O= Not OK _ ' = Not Readyable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 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.- 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Shthg.-Rfg.-Bracing 6. Gas; Location -Test -Wrap: / /"L"ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -131 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances I 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector I 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -131 Date Card -131 Date Card=131 Date Card -131 Date Card -131 Date Card -131 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test ICard -B1 Date Card -81 Date Card -B1 Date Card -131 Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747. Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE x OWNER PERMIT NO. A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. if you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. V Inspectors- / �. Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle — Phone: 538-7541 _. 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE ER Mel 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 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviIIe, Celiforiia 95965 -Telephone: 916/538-7541 APPLICATION AND PERMIT ERMIT NO ASSE O PA C L N BER y ,_ / �YTELEPHONE ZONIN BUILDING PERMIT OWNE i SQ. FT. OC9. BUILDING VJ�UATIONf OW R' MAI LI 1 ADDRESS Ct mer© n CO T CTOR•7.N AME ©� - 19 a r 7 TEMP lN•6_ 5 CO `R/k6 OR• AILING ADDR SSS p Ur (/p GC ►�fyl /,j Fireplace �� Q CONSTRUCTION LEADER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS j p Pro r Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 11 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping fT 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF (I Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition [ emode 1 ❑ tiliti s ❑ Installa/tfor?❑ Other ❑ Describe work: Ci / Ci�L !�' V / v Permit Fee $ Q Contractor ELECTRICAL PERMIT Filing Fee 10.00• Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW penalty I declare under of perjury (check : PerjY(econe): � - 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. 3`� 5r —Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.a\ YZ¢Sgft OR ACDNS. l ACC. BLDGS. / NEW CONSTR U TLOUTLET N0N.RESID BRANCH CIRCUITS2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES e0Le030 Ex. OCCup. OUTLFIXEETS P(RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 g Permit Fee $ 11jiJ 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. fTvl' I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 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 and expenses which may in any way accrue all Iia ties, judg &e;qWce agai t id Cour , of the granting of this permit. X I' Date 7— 3 ` rd S gnature of Applicant — Owner ❑ ContractorX Agent El S An OSHA permit is required For excavations over O" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ C310 6r) TOTAL PERMIT FEE s Dc P. CONST. TTP ISCHOOLIFLOODIPARCELYPD I X.135UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By9— PERL(EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dates —7'a G Receipt No. - WNIT[-D.P.W.. TlLLOW-ASeC330R, PINK-IN9PlCTOR, GOLDlNROD-AP►LICANT _ _ - .-. -^ -+t�v .4�'! - tZ.:;:i4'ij �"�'Kt�fG'li�#iT`�nY"i,' c.!".-.fra'r°.'.+l...i'%�tt::t:'�,�:-+ _i , , . .Y, ri : n• �' ice*`'-. ,`'E " . .. i'r-,»`.r .. COUNTY OF BUTTE - DEPARTME�=TE& PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET , Permit No. OWNER (/v r O (.( A P. No. Proposed Building Use --,//d(/!2 Building Inspector Date j 3 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 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 S tement of Intent for Non -Heated and AC Buildings. does of$ 9 I zrLetter of signature authorization. 1 i .Sanitation approval from �oui I � Health -lth 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 17. Pre -Inspection for Required. Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses in duplicate (required prior to plan heck). 22. Whe you issue the -p r it�1 _roc ss as follows: - Mail t - wner, Mail to contractor. , ZTelephone SU�� and hold for pickup at�ll'�bffice, Deliver w/inspector. Other r Applicant Date ? �" Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to ermit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: ontractor signer, owner, was advised of above required data by boor phone—counter by�l `( d 'ate Contrac or, designer, owner, was advised of above required data by—phone —ma II—counter by date p' Plans checked by Date Plans approved by ate 3"/ 00 Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Wa Supply Clearance for er I01t3�� UaLe FORM 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner 6O(/(y0,! Climate Zone Permit # UR 3' Floor Area 3l0 The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ZONE 16 APPLIES TO NEW AREA CEILING R-30 R-38 WALL R-11 R-19 FLOOR R-11 R-19 SLAB R-7 R-7 GLAZING U7.65 (Dual) U-.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER.(Zone 16) - DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 -LIGHTING KITCHEN & BATH NOT LESS -THAN 25 LUMENS/WATT MAXIMUM .GLAZING 16% OF' AREA PLUS REMOVED GLAZING 4s.500WA 'NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 *1 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 ❑ Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ .(A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) ❑ *2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load - maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU *2, Submit T.I.P.,S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the C41GNA Administr ' n C e. 0 BUILDING DESIGNER OR APPLICANT EMMMEMOMMEMMMEMMOMME NONE ME MOMMEMMMMEM Nil IN ONE MEMO 0 M MONO 0 N SEES M IN MEMMME NMI ME 0 SEEM I MMmMMMM-M 0 MONSOONEMMMEMI I IN mmmml MEMEMEMM MEMMEMEMOM MMEEMM M NONE on I EMEEMN MEMEMIMME ElEmoll 0 INIMME IN - , MOMMOMME M 0 MEN No MEN MEN M EMEMM M MEMEN 0 NNE MUMMEMEMN NEON M No SON EMEMME 1IM11IME MNINN M No WOMEN NONE mommimom -MEMNEW ME MOEN 0 ONE --- No 0 Mm MEEMMEN ENO 0 moll 0 MEMO M- ME MEMMEN 0 low NONE 0 EON No ME M NONE No o NONE MEN 0 M C momommomEMOMMEM -M No . . . f I !-- - M -s - PERMIT NO. 284-88B,E PERMIT EXPIRES. -2/ OWNER WILLIS GOUGH � owner • CONTR. ASSESSOR PARCEL 61-49-17 LOCATION 99 George Cameron Teri vP , RC s ' t r. s �F S, k i� i� r T i Temp. Power Pole I Called PG&E i Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E Q , JOB FINALED (Date) -- � fV = OK 0 = Not Re RESIDENTIAL Sin le and Du -lex =Not Applicable 9 P ) . Not Ready Date UNDERFLOOR (Plans) OK except #'s• 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" .Ftg. Depth 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers-Fireplace'Ftg.-Steel 9.. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins: 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -131 Date I Card -B1 Date Card -81 Date Date ELECTRICAL (Permit) OK except #'s I 22. Flxtuire'& Transformer Clearance=Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuits in Kitchen & Conductor Size 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. I Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. I 32. Clothes Closet Light -Shower Light -Spa Light Card -B1 Date Card -131 Date Card -B1 Date Card -81 Date Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnace in Attic Card -131 Date Card -131 Date Card -81 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing Date 44. Hangers -Post Caps -Anchors -Connectors 45. Cing. Joist-.Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 46. Fireplace Ties or Type A Flue -Fireplace Throat 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 49. Garage Fire Protection Framing 50. Property Line Firewall & Openings 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 54. Siding -Nailing Veneer, 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 56. Glazing Area -Glass Protection -Skylights -Plastic 57. Shear Walls; Nailing -Bolts 58. Insulation -Wal Is-Cig. . 59.: Infiltration-Walls-Wndws Card -B1 Date Card -131 Date Card -131 Date Card -61 Date Date FINAL (Plans) OK except#'s 60. Ext. Steps -Door & Sidelight Protection -Landings 61. Smoke Detector 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Siies-Labels 66. Stairs & Rails 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 70. Elec. Outlets & Receptacles at Kit. Counter 71. Garage Fire Door; Swing -Landing -Closer 72. A.C. Duct in Garage -Damper 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 74. Plb., Elec. & Mech. Equip. Listed for Location 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 79. Following instid.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish 81. A.C. Unit; Disconnect, Electrical, Plumbing 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 83. Water Well; Disconnect, Electrical, Plumbing 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 85. Ventilation throughout House 86. Glass Protection 87. Corrections from Previous Inpections 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date Comments at Final: = OK O= Not OK Not Not Reliable adyMOBILE HOMES MISCELLANEOUS -- Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DEC S,C0VERS,CARP0RTS,GARAGES Plans OK ezce t#'s J. 1. Zoning Requirements -Setbacks -Easements .-'Zoning Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; -Girders and/or Joists- Dec king -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 6. Gas; Location -Test -Wrap: / /"L"ft Connections -Splice -Decal -Enclosures./ /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns - rports; Windows -Doors 7. Utility Clearance 9KEtc. _ JW*TrDgj Sills-Anchors-Studs-Rftrs-Trusses n ; Nailing -Veneer -Stucco -Mesh Card -Bt Date Card -131 Date . oof; Shthg-Roofing Card -131 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOSILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Dat Card -B Dat — 9 --fl 2. Footings; Size -Spacing -Marriage Line Card -61 Dat' Card,131 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch ,. 4. Elec.; Receptacles and Lighting, Distances-GFI . 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -81 • Date Card -131 Date Card -131 Date 9. Health Department Approval 4 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -131 Date Card -131 Date J. E COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751. 7 County Center Drive, Orovi Ile - Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872.-6307 CORRECTION NOTICE 1 1 C/ ✓�C//// I s OWNER /% yCr b5 PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector I/Dateeb, fl COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OftER PERMIT N0. 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. Inspector3/, � �2 Date z) '^y'�1 �/S COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION -AND PERMIT ER T NO/ ASSESSOR PAF;.CEL_ B R / ZONING BUILDING PERMIT OWNER -5 go TELEPHONE SQ. FT. OCC. BUILDIN VALUATION OWNER'S MAILING ADD SS CONTRAC R"SN M TELEPHONE CONTRACTOR'OS MA LING DDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ O Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ,s ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other ECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service E00V OR LESS 100 AMP OR LESS 10.000.0 Main service EA. ADD'L 100 AMP 2.50 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.y • OR ADDNS. ACC. BLOGS. /20sq ft __022 CONSTR. TI -OUTLET 2,50 ea NON-RESID .BRA C CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu zoesoe Occup(OUTLETS OR FIXTURES eAL030 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.7 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring . 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Date ��� O D ' a c� g Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P. CONST.TYP! —77 01 0ARCE1.4 _PD INIJ 39UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date. 1� r �j Receipt No. WNIT!-D.P.W., YlLLOW-ASE CS SO R. PINK -INSPECTOR. GOLD ZNROO-APPLICANT TO Buildinv Department •_ . FROM: Environmental Health SUBJECT: Sanitation Clearance r C 60L -(G ezW166Z Owner Location Plan Approved for: Sewage Disposal Hold final for: Final clearance O.K. .for: <� Clearance for ,�� *^e . Other tarian tM ai-vr it Water Supply Water Supply Water Supply ;`,:s: Iry v- + '....{2" '4.'lv... :`y'""`''�. r"!i'I'F. ... .... _.ti S�.7 t��;rsn^l•;�.Il`� PfRI7/i'rti4Fe'Sri,` '1.s��c�'J� r1`i";;vo' T." COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIIULIE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 �. PERMIT APPLICATION DATA SHEET Permit No. � OWNER 60(x A. P. No. % Proposed Building Use iiC(e/ Building Inspector X— 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. . . . . . . . . . . . — f 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 talcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. r 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . .712 Ni--, Sanitation approval from ro 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.) 4't ._14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) 15. Improvements may be required. . . . . . . . . . . . .16. Mobilehome Installation Data. . . . . . . . . 1. 17. Pre-Inspe Pre -Inspection for__._.,____ __. _ _._ . _Required. Building Inn spector w request to (Date-) - {- 18. Recorded copy of Agricultural Acknowledgment Statement. ' 19. Driveway Permit. _ 20. Plot plan approval from city of 21 Engineered trusses in duplicate (required prior to plan check)_ When, you issue the permit, process as follows: Mail to owner, Mail to contractor. ��TeIephone �p9 ��S/ and hold for pickup at(3 JfC) office, Deliver w/ inspector. , Other - C73 ;At Copy of plans sent Health Dept.; File Dept•, OtherDate ; t The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. Z. ____ i• 2. Additional items required: Mfr 1 Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date —I Contractor, designer, owner, was advised c? above required data by—phone —ma iI—counter by date { Plans checked by a 2441 ►®ateY Plans approved by Date , Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916E ®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) >t?S 2. I (have/have not) %J,4U'E-- 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: -•e n�t% Property Owne Social Security Number Date /— 2g- R9 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. 53��' _ j,_ i I I I • ' � l�_ � � � I _�.: i _ I i � i. , �— i , 7—�--r - +� it i� �-- I I-�j-- -- � _Acc ! I i ' 1 �_ _1 ; Ni -a:-l-I-hAa xdara gyallt-y_p.r_e _-U-nj or_m_ dl.thg_}ati9rl. - 1 _ i �1 i -This s � �,.ildj. fi of er lsr&-i cribeif-for-_ g,rP_lumb.in L_E[ec. tans / r-k-r�a ship k�a Gco Rr chic -e -aid _ e�Sp cif_ie use—Mt o _&_Nlechan.ical_ odes._ irical_. I Ir -j- nd! sp} cific6tidns MUST be p ' I _ ) I I _ 1 1 ' T"-71 i i �1 I I {a®'- �— — !! _f1wrltt' — ke , t on the: —�— any ob -__.�-T_ changes n permisslQn afi all or � I I : times) and if is' un'lawfu to 1 alterat"ons on s me w"th= fro the bepa me t of`—� �+ ! i - , - 1 � �--�--- _a_ . - �--qq 'rte►- , II _ AS I - L- � � 1 `t --I `� —, 1, -Fub ic. VCl�rks; - i i—j----ir--� _� ounfX�o - - -- - — -- —I --i---, --, -- - ) ►- i I I J �, , L -i F- _�- f 5.. c se bak I- a d Via- tblac f pro erty`-lines of 5 ft rom� i ��� Istru�tii,re I -- i { ! j I j , �I ► r-- r cent rline salt-be�cle� -of I i merit-ex�ep "or - p -�cir q. — � - -- � 4%�Sr. --� I i I _� _ ;J ' i I tT 30 I 2� ft. e�ave- I s i (a �j 8• -tT I I I ' i , --- _- i i ,�• INTY _ — _ � . )...-..�• �. " .l 1 � iY��_ � i ! � 1_—� .-�---1 t I I -�--- -�-- I I �_-_, _i —� � � I �� i '' >....e.:;_..�......r...,. GrA R A e- a L/ Pro-VIde 1/2'F'F.x I& nch6r boifs 1144ncl�wqffiiii — F ma n Ai r 32- 7: T CoN�CRCT PA b 3 'y' 64 es 1- J 9z D..Woz) 6 Ex PAJS 1-6,,) 3' A.+r 13. :S. -re Y." 1,-)411 de oowlvc -4 T- M A C 0Moe* 4/yojh 4 L- L I-zo r - t A BUTTE i (4=41 Pl"- M:j1AMlq& COUNTY- ool- I t I if -DEPARTMEN BUILDING 'P - j -1l 8 -- -- � �.0 _ 7,T T L ROOF COVERINGS WITHIN FIRE HAZARD SEVERITY "ZONES Effective January 1, 1988, for new building construction andreroofing, State n law requires roof coverings in fire hazard severity zones to comply with the following: 1-.--Ver-y_high-fire_hazardsseverity zone. A, Any Class A listed roof or B. Any noncombustible roof.• 2. High fire hazard severity zone. A. Any roof complying with Section 3203(e), 1985 UBC, as a fire retardant roof except a Class C listed mineral surface asphalt shingle roof covering is not permitted. 3. PIoderate fire hazard severity zone. A. Any roof complying with Section 3203(e), 1985 UB -as a fire retard- ant roof or r �,. U. Any Class; C listed roof. r The installer of the roof coveringshall provide certification of roof cover- ` Eng classification to the Butte County Building Department. IM .5 ECiA I ROOT COVERING REQUIREa. -+-- E A CHE© SHLET. I I I i i -� --- - - - -k, -'may ge . f -oo2 - - -- ; - �. . . i � I vel{=�A�, 1 j 005 ; 0o p l Cei l �N t �A_F.�2S may. oc a X 8 F9S�A (� RrJoF A r7 0- X S LjS� GLP Sh N9 LAS • G'Lc A aD. A be P- ;?)(q ' S DoW 1-11 S/Slr.sID I 9 oVe12 p00 axq sT�As ���. s7A,\-)b Rfl axY �ie.9mi� 9 Provide adequate bracing. _ BU171 E COUNTY r I _ BUILDING DEPAR,I MENT :,- . , - • - . • ;�, i �jrt7 A./ PERMIT NO. 2782=82B,P,E,M •� a PERMIT. EXPIRES OWNER Willis Gough CONTR. Nelson & Nelson,Oroville i+ ,�� �y,� ASSESSOR PARCEL 71-08-76 $' S/S Cameron Dr, a � mi. W of �,. LOCATION PP 2 Foreman Creek Rd,Oroville Li r J 1t 1 1 ( t• Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E t� Temp. Gas Service Cal led PG&E t JOB FINALED (Dat n I Signature V = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDE FLOOR Plans OK except #'s Date FRAMING (Continued) tw"zoni-requirements-Setbacks-Easements 48._°-pa;Pp- i"e "rewalI & Openings g„ Main; Soils-Steel-Elec. Grnd.- " Ftg. Depth xt. Doors -One 3' -Check Garage -3rd story, 2 exits Fig- Garage; Soils -Steel- / tg. Depth 0. -Sta' idth-Headroom-Rise-Run- Land ing-Fire Protection Porches & Decks; Soils -Steel- // /" Ftg. Depth ywood on Roof Overhang -Attic Vents -Rafter Outriggers Stemwalls, Main; Steel-Blockouts-Wrapped-Slab Qq Siding -Nailing -Veneer Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab ((, $a 53 cf ��^ "^�' N Screed-Fdn. Vents-Underflr. Access 7. Piers- Fisepfeee-F•Ic�-Steel fir/ 754. GqAzing Area -Glass Protection -Skylights -Plastic / fj 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test Shear Walls; Nailing -Bolts *9-6" Pipe, 9tze-Anchors i - - i 0.Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 2.. Plenums & Ducts; Clearance -Material -Support -Ins. 3. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples I ate BI Date Card -BI . Date Card -BI Date Card -BI Date Card -BI Date I ate/6 �'j,Card-BI Date Date FINAL,(PI OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except N's E t. Steps -Door & Sidelight Protection -Landings eSinoke Detector Clayger Ht.; Vent -Access -Combustion Air 58' Furnace; Vents -Clearance -Comb. Air -Connector - Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 9. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 6 G.F.I. &Bath Fixtures & Tub Access _ 18. Test Tub & Shower, 2nd Floor -Tub Access 6 Elec. Trim & Subpanel; Breaker Sizes -Labels _ 19. Gas Pipe; Size & Anchors 6ZeStairs & Rails 6 ireplace or Stove; Clearances -Hearth . Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Card -BI Date Card -BI Date Date Card -BI Date t. Fixt. & AppliancT, Grnd.-Air Gap -Cooking Clearance 6 . E ec. Outlets & Receptacles at Kit. Counter Date ELEC AL Permit OK except q's 2L --"Garage Fire Door; Swing -Landing -Closer 6 AC. Duct in Garage -Damper 241-FiAiure & Transformer Clearance -Ins. Protection 6 tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- I Garage; Above Floor-Mech. Protection ec. Receptacles Spacing -Lights &Switches at Doors Boxes & No. of Conduct - tap mex Installed Close to Edge of Stu s & C.J. 7 , Plb., Elec. & Mech. Equip. Listed for Location lec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24r-5quip. Ground made up w/ - Bond Gas &Water 25. 2 Appliance Circuits in Kitchen &Conductoductor Size 72. nsylation-Foam-Looked in Attic es 774. Guard Rails & Deck Construction -Post Caps _ 26. Wire Size ga or At Fdn. Vents & Crawl Hole Doter -Drainage & Wood -Earth Clearance Looked under Floor 9s 27. Range Circ. / / ga. or AI -Oven Circ. / / ga. u or AI, Circ. In ted Neutral [�} s El No 75. Following instld rive es [3 No; Walks Yes El No; Planters Yes 1:1 No aae'Service-Riser Conductors & Ground -Main Disconnect 76. S co; Brown -Finish 28 Equi$ CIa=_.:,.Panels-Motors-Mech. Equip. 7 A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. - Light 7nts Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 7 ater Well; Disconnect, Electrical, Plumbing r I Dat d -BI Date to--�Xerior Elec. Trim; G.F.I. Receptacle -Underground entilation throughout House I ss Protection Card B-1 DateE Date Card -BI Date H ICAL (Permit) OK except N's 83, --Correct ions from Previous Inspections 84. as Test -Meters Tagged; Gas -Electric A.C. Ducts; Insulation & Support 85. ter & Sewer Connected -C/0 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 oz 35. Attic Access & Platform if Furnace in Attic Card -BI 12 Date - Card -BI Date TTS- z.d[01 te�� ���I Date CafdBi ate , Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMI lans) OK except q's Sills per Material &Anchors alis; Studs -Nailing, Spacing & Bracing -Plates -Sound _ _ng Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) _ ire to s; Furreds-��� r _ eader & ear e_& Bearing H s o Ca Anc)n ng. ist-Rft_r. Ties-Purli oof Brac -T T--hthng.-Rfnn, 44. F' place Ties or Type lue-Fireplace Throat pK /1" sTV p 4 t ' Access; Size &Romex Protection -Draft Stop -Ins. Baffles/ dr Wir)dows or Exiting Doors -Sill Hgt. & Dimensions 7 arage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) = OK = Not OK- = Not Applicable MOjILEF,,OMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except p'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 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; 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 N'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 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/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-1 Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-45411 '_,_ ,•A. Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE' BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed: If you have any question pertaining to this matter, or need additional explanation, 'please contact this office immediately. i?/U s; % 26 17*7 4��SS Inspector ` Date �'`�� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 s Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS, A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. l�✓ ;iii IJC.. I A i / t i'l / 2c� o� •�! � �c Inspector4�le/llrc-.ft�r''--* � Date RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN COl TORMANCE W,TH CU NT ENERGY CONSERVATION GULATI AT �'�c� ur Tie rrw-y, Cay oov Q-A (location) 0 1 BUILDING PERMIT N0, Q71a,- 29, j7, m A. -P. NO. • THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED.PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge �{ Fdn. Walls h11 (4 Floors. 9,-11 Walls R -A Ceiling/Roof R -?Sp Ducts Circulating P1pes APPROVED HEATER APPROVED WTR.HTR. GLAZING: Single Glazed %►.1 '� N Special (Insulated)_ CERT. & LABELED WDS. � & SLIDING DRS, g�'CnG;w+ rrJ:tJ!'oa�; WEATHERSTRIPPED DRS. ALL -XT _Ci BACK DAMPERED FANS S jw:T INTERMITTENT IGNITION DEVI CERT. APPLIANCES CO3NQx-c1 r.Ce.Arj 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 CER`TIF�ICATE AS SUBMITTED. Insulation Applicator Name W a LL( �,m R,�3eAso,3 Signature of (please print) Insulation Applicator U r ✓1.QJ'rJ,Qy� State) Contractors License No. 'q0,;Xr11 !::� General Contractor/Owner Name \J) 1 LL,I :A]p-j' Signature of (please print) General Contractor/Owner 3 State C ntractors P License No. (-}oa� 3 a 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. RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS , BUILDING PERMIT NO. 1'7 J3 sa F_�,P F,��% PIA 'P N0. THE FOLLOWING HAVE BEEN INSTALLED AS PER-APPROVED.PLANS: (Check each item or write N/A if not applicable) INSULAT ION : Slab Edge_dJA Fdn. Walls Ail) A Floors Walls —i Ceiling/Roof R— 3O Ducts '_vCS (41 ctjS-. Q Circulating Pipes - APPROVED HEATER APPROVED WTR.HTR. cFc- GLAZING: Single Glazed ir rovi N Oc,1S Special (Insulated) CERT. & LABELED WDS. < & SLIDING DRS ._�ncyn�;e�Qbt9= WEATHERSTRIPPED DRS. ALL ' IFy ec in r BACK DAMPERED FANS INTERMITTENT IGNITION DEVI ES CERT. APPLIANCES'e.t�em,L 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 X1,9 .i L L X &yn Signature of (pleaseprint) Insulation Applicator V• ax&;Wr 'Q n &Lcy , State Contractors L cense No. ,40 e_ General Contractor/Owner Name ii i UA �, vv�?_ %,,I Q.1 Seg A Signature of l.' (please print) General Contractor/Owner � Date YState Contrac ors icense,No. O THIS CERT IF ICATE 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. COUNTY OF BUTTE - DEPART`1WENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville, C alifQrpiar95965 - Telephone 916/5347 Z l�'��i._ APPLICATION AND PERMIT D ASSESSOR PAR gL NU B — (V ZONI 7__ / BU LDIN PE IT OW R `Lus /_' ��� /� TELEPHONE SO. FT. OCC. B DING VA nnUATION ��' 0� OWNER'S MAILING ADDRESS CO TRACT'S `J AM - /��SO� ^ _ /�/•,%J HIJt/-00 ✓7S c� c25'I , /II NG AC.!/R �i�0✓��� ��S Fireplace /O p0. © PJ CONSTRUCTION.LENDER UNKNOWN Total Valuation is Zc 00 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ Z7 7. 5V ARCHITECT OR ENGINEfZR LICENSE NO. Plan Checking Fee ,$ /W. 7 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Jr Permit fee $ 7 • 2, B ING ADDRESS X41 VC— App �Z X4 Z- Gt/, PLUMBING PERMIT Filing Fee 10.00 OF FO�Ad C>�� P—P Each Trap $� 2.00 �O�J Repair drainage or vent piping 5.00 o,j?oi//GC.E Water piping 6.00 LOT NO. SUBDIVISION NAME PA} CELL MAP TS _L Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets �,� USE OF STRUCTURE SF IJ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 6--00 /�Lawnn sprinkler syste EL FT A111.1- 11.�TYPE 5.00 TYPEOF WORK New Addition ❑ Remodel❑ Utilities❑ Installation❑ Other[-] Describe work: Permit Fee $ O Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1 S 00 AMP OR LESS Main service EA. ADD'L too AMP 250 2-50 NEW CONST. ( DWELLING I.A.\\ OR ADDNS. \ ACC. BLDGS / r� S ft q 5 O 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 �•9Code and my license is in fu l force and effect. License No. _ 1�mG�sf f � 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 -0 N STNON.RESID R BRA MU LT CH ciacTlTs 2.50 ea NEW CONSTR. / POWER APPARATUS e NON.RESID. %SINGLE OUTLET CIR. ) - Ex. OCCUR(OUTLETS OR FIXTURES so 0 zs¢ 100 EX. OCCUp.(OU LETS P(RESID,)RA. E 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ; Misc. Wiring 7.50 Permit Fee $ 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 becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating & 5f-,aaa b •DO A16q % (, e"P Cooling Sr 6,00 Hood 3.00 3oOd Ventilation Permit Fee $ �' Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequ ce of the granting of this per it. X Y Date Signature of Applicant — O ner ❑ Contractor P Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures rower/3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ E47 Z•//s OCCUP. GROUP _a I TY E OF CONST. -,� PARC LP .1 No 1.1119SUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECT OF PUBLIC By PER T EXPIRES Date_. the applicable provi- resolutions to do have been paid. WORKS Date p — Receipt N0.__1 �lo� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Mm Free .,.:.._ Min. Run Run measured toe to toe. %" max. tolerance between targest & smallest rise/run. SEG 330& u $.c ' �,r,ove 6,44kzCC4A— l�£c�bUQ �OCIQ M.eCF , W✓1 , Low'eR Cgbih�fi a Q Protide odequate ron deaif Profection" and a Type -A Flue. W/B���� loe )3, OR C xi R"lam 4 b(Ar r _ o--- +e, ze 43 �.� 5 .. �e 1M1n aK•E� ;lI6, �'4 BUTTE COUNTY BUILDING DEPARTMENT APPROV8D Zf V,( 3 0 �' �� Dw�vaevz:l,✓illiS C�o4�� 99 �� Awm 6y $• oAR�E►lSlnRw —� — �� w/N4k!ComL RS . O les; 1. Ex%C_P-i c rZ W 4 - �'_X G ST'C1DS I (P 2, -¢ !' jZ t4 e A DCi,. S S I W iP1 Z)C)40-C 3 T Ill ��.'- SiDI►,g �oa�� cx�`s�,►�� �• �-I`t 1hS k14�; ��. g�'j -��002 .f W �<<S s. -3o t►1Se114�r'e� tJ c W IJ6ws 6oS 4-o �e t,. kat ct2ED , vu� 7, 114aiec10JS O -S Q_(oS��� �S �oSSli��2 NOTH:-- -Ail Materials Wotk4cinsFiip Accordance with Recognized. _Good .p ractices and of e, 49dty prescribed. for the Specified use in the::. . Uniform Building, Plumbing- & Machanical C.Oda the Natienal Electrical .Cods... aX� C!c LI NGOkt!5 roc., lGr ct eV_ . c��ie aA quafe Top rail to be 36 in. -high with intermediate rails to be not. over(o in: apart. N P/ cJOOIj'S�%�' oOrZ aX�{rA!�s 4ON��T�� xbLEDGe.?"'I(FANC-62So�YG e�XCo SrItIIIG�4S L.',4c. P,LTSTo HclnzC qX ZG��pc� LEDGcK CR2R •� jc �} �� b oc �/z 0golfs $ �c Q Provide equate bracing. 6 p,?c M LibS14L. 6' ►ti. U4Al� ►�,.� la.,� Comet°. t. y -a,'' x to"' A hclAar� � o�lfs V ac. tt 1�y�. 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