HomeMy WebLinkAbout063-050-009a
T
_ r, f ,ter—�'•'—'r�ry ���,v _ _ _ ten• .—� —
63-05-9
Mike & Marilyn McGee r
W/S Tippi oe Ln.,app.17 'S.of Fitz-
gerald ForestRanch
Permi 1663-77 ,P,E,M(new s' gle
family)
_ 63-05-9
NEW OWNER
P UL RUMORE
:TnTSippi Toe Ln,- 1700' S of f- -
Fit erald Rd., Forest RanZX"
(Permit #6658-78 ,E(clas flue
& ele r) SF
63-05-9
>Permi 2683-82B°;E(new.-pri- detach d^'ar
age &car __x)-----���
63-05.-9 �
Permit#4072_3B(lst renewal/2683-82)
63-05-9
Pep— Peft#417-84E(ele/2683-82)
063-050-009 ' PERMIT#97-1
RUMORE, Paul & Jan
-5-0 u
4920 Ti PPi-Toe Ln.,"Forest Ra ch
7 t
Conv Garage to,Familyrm & Add tg
063-050-009 99-2845
SUDERMAN, DON 1Z6
40 TIPPI TOE, FOREST RANCH
CONTR: WATTS PLUMBING p�
CHANGE OUT ELE WATER HEATER
V
.. � _ .�.'F.s w 1 , ... � ... �. V,.- a r. � "f: ti r :,1-� • r- a o.: r _ .; e.-jf+F,,.�.. ;`. t•...r �. 4 � ..
063-050-009 ` i`
:� �• Tr` 99-2845 .
SUDERMAN, D,ON
40 TIPPI' TOE, FOREST RANCH
CONTR: WATFOLUNMING ' r
CHANGE OUT: ELE WATER HEATER
i
f
S
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P RMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
w
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
3 -
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS r
coNThAcTbAS NAME 61TELEPHONE
yZ 1A
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
t
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
�
BUILDING ADDRESS Li 0
Energy Plan Checking Fee $
$
rG j oAoe
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 91115uplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 01"Other ❑
Describe Work: .e n � � � /.�. � 14-
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
a00VOR LE
Main Service 2a.A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
1 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. ll
License Class r - it Lic. No. �f� J
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
Main Service To
46.00
NEW CONST. DWELLMx3 OCCUCUP.
ORADDNS.W: Or
(
3.5QF°.
MUL�TICou�rLET
NON.RESID. CIRCUITS
@7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
�(, OCCU OUTLET OR FDRURES
B20 ® 1.00
50
Ex. Occup. pUT1EETS REQS p,OEp
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina 1
23.00 A3 071
PERMIT FEE $
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' compensati6n in rance carrr. rand policy number are:
Carrier/l f l' J/\/�C)
Policy Number.., // — L i i!
(The above sections need not be completed If the permit is for work of a valuation
of 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.
X � ----s��"� Date �-) f i/J1
Signature of�Applican - `Owner ❑-Contractor ❑ Agent
An OSHA perl}Lit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT FiIng Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ ly3 o -O
HAZ.
p. FEES
IMP
FLooD
CDF
PARCEL
PO
HD
5SU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
,//�� +��
By jr.,:7 \ Date
PERMIT EXPIRES ON 1 .Z O
(D, 6)
Receipt No. !A 8049 G
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
J=OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (;
=
Date UNDERFLOOR (Plans) OK except It's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Bfockouts-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. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except n'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 DateCard B-1
--------------------- ------ ----------- --- - - -- -- -
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except rr's
- - - - 22. Rxtur & Transformer Clearance -Ins. Protection
-let e_ceptacies Spacing -Lights & Switches at Doors
- Size xes & No. of Conductors -Stapled
omex Installed Close to Edge of Studs & C.J.
quip Ground made-up wrMech. Fastner..Bond Gas.. Water
- j 7 2 Appliance Circuts in Kitchen & Conductor Sze,GFI ...... .. - ..
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size • ga.
Cu or At
------------------------------------------
29.
------- 29. Range Circ r , 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 r,'s
W..
. .C. Ducts Insulat on & Support
-- ------ ----------- . ---_......... . ...
35. Vent Fan: Exhaust above insulation
36. Condensat-ee Dram &Overflow: Size & Grade
- - s _..... .._. .
_ 37. Furnance-Vent: Access -Comb. A r -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 a's
S Is. roper Material & Anchors
alts Studs -Nailing. Spacing & Bracing -Plates -Sound
Bea g Walls over Girders & Floor Nailing
tLrAWStop in Walls (rat proof)
F Stops. Furred Ceilings -Stags -Chases -Tub
Headers & Beam -Size & Bearing
Tingle & Duplex)
Date F MING (Continued)
4 angers -Post Caps -Anchors -Connectors
------- 46_Cln-. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
4 fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
-------------------------- -
50. Garage Fire Protection Framing
_
51 Property Line Firewall & Openings
52. Ext. Doors -One -3' -Check Garage -3rd Story, 2 Exits
53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
---------------
55. -Sid ing-Nailing Veneer
------------------------------------ -
--------------- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls: Nailin 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 ns) OK except a's
Ext. Steps -Door & Sidelight Protection -Landings
--
_
Furnace Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meth. Protection
---------------------------------------------
64. Bedroom Exiting
- - ------------------------------
A'F I & Bath Fixtures & Tub Access -Spa _
66. Ele Trim & Subpanel Breaker Sizes & Labels
-------------
-- -- ------------
S-
tags & Rails
---------- -- -----------------------
68. Fireplace or Stove: Clearances -Hearth
�-
69 Elec. Outlets at Wood Panel: Int. & Ext.
70. Kit Fix -& Appliance Grnd_Air-Gap-Cooking Clearance'
-{/
lec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door Swing -Landing -Closer
?
-
73. A.C. Duct -Garage-Damper ----------------------------
74. Wtr. Htr.: Vents -Clearance -Comb Air-Connector-P.R.V.
In rage: Above Floor -Meth. Protection
Plb.. Elec. & Mech.Equip. Listed for Location
...... �- �-- ---------------------------------------
7,(felec. Receptacles in Garage: (G.F.I.)-Romex Protection
-- --- ------------------------------------------------ -------
7-. u ation-Foam-Looked in Attic ❑Yes
--------------------------
------------------------------------- ----
7 . Guard Rails & Deck Construction -Post Caps__
-
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
9 ----------
80. Follow- instld� Drive ❑ Yes ❑ No: Walks ❑ Yes
❑ JO:
Planters ❑ Yes ❑ No
----
------------------------------------------
----------------------------------------
81.
81. Stucc . Brown -Finish
.. .. ...._.._...-------------------... --......
C Unit: Disconnect. Electrical, Plumbing
-
----- -
. ... ... ---
. _....---------------------------------------
Above Roof:
ents Plbg.-Appliance-Fireplace.-Clearance
Openings
.- -.-......-------------------
to i
------------
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 Wafer & Sewer Connected -CIO to Grade -HD Approval
Energy Compl ante Cerhhcate-Other Certificates
Date -�rd Date Card B-1
' . ---- - ---------------------------
Date Card B-1 Date Card B_1
Date Card B-1 Date Card B-1
Comments at Final
V=OK _
O =Not 0'k
•=NottRepaldybl'e 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)
S. Electricity; Location-Clearances-Gmd-/ /Amp-Concrete
6. Gas; Location-Test-Wrap; / /'L'ft.
/ /Nat. or/ /ttj /LPG
7. Well Clearance & Disconnect
8. 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 #'s
1. Zoning Requirements-Setbacks Easements
2. Footings; Size-Spacing-Marriage Line
3. Gas; MH Test-Demand-Valve-Connector
4. Electricity; MH Test-Crossovers-Breakers-Clearances
Z. 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. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
)ate Card B-1 Date Card B-1
Dante Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; SoilsSize-DepthSpacing-Connectors-Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg: Rfg: Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/S 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
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541(1 PERIO.
o.
(Rev. 12/96) APPLICATION AND PERMIT '7
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
Q
TELEPHONE
2-S
SO, FT- OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
-o. FOREST- Nc
,F�5Q
_so -�R 5v
CONTRACTOR'S NAME TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace I A—
Total Valuation $ — DO.
ARCHITECT OR ENGINEER
UCENSE NO.
Filing Fee $ 20.00
Permit Fee $ pp
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan CheckingFee $ 1.0
49 BUILDING ADDRESS 0 LJV L N/
Energy Plan Checking Fee $ w 0
♦
rov'(s i VAWCH
$
PERMIT FEE $ 1
LOT NO.
SUBDNIS IONS NAME PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF )( Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ AdddionX, RemodelX Utilities ❑ Installation ❑ Other ❑
Describe Work: GA`QNGF— TO FAmlo 2JoM AtA
R'b't S"Vd NGS
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home IS I GI Wr 920.00
PERMIT FEE S
ELECTRICAL PERMIT Filing Fee 20.00
Main Service wov
zooA ooR LESsR LES
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
La vy ff the following reason:
V' 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
Main Service 200A TO IDOOA 46.00
NEW CONST. DWELLING Occup. so
OR ADDNS. ( a Acc. BLOB. 3.5Q�;
NON-RESIID. MULTI -O RCU TS 97,50
POWER APPARATUS
8 SINGLE OUr. CIR.
Ex. Occup. OUTLET OR FD(TURES g20 p I.SO
Ex. Occup. ouiLEtDrs AESIo.OFR-A 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $ 3
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
AIone hundred dollars ($100) or less.)
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 1 should become subject to the
rkers' compensation provisions of section 3700 of the Labor Code, I shall
f rthwith comply with those provisions.
/ L,
Date (/ 7 �_
/Sa re of Applicant - Owner ❑Contractor ❑Agent
A permit is required for excavations over 5'0"deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $ 55-60
Mobile Home Installation Fee $
Energy Inspection Fee $, Ob
occ
CONST. TYPE
TOTAL FEE $ _
HAZ. FEES P
�-
FLOOD
,
CDF
PARCEL pD
_
HD SSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By ZI f6A
(� Date ��
PERMIT EXPIRES ON ' I—�4—gy
Dale
Receipt No. ��
tAP
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPECTO GOL NR CANT
imoor rianjss rreviewea Dy acnooi uistnct rersonnei)
District Identification No.
'U'So School District certifies that PCW_0 de"t�"`
Applicant)
(Street Address) (Phone Number)
(City)
has complied with"the requirements of Resolution No.
representing yC1 square feet.
School District
Paid by Check #
Remarks:
(State)
(Zip Code)
by payment of $
I[FULL2MITIGATION $ II
Date
i5i
Notice: You may protest the imposition of the fees Identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit. a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this'project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
.White (applicant), Yellow (building department), Pink (school district) feeformAs (2197)dmm
7—
-.-.BUTTE
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM,
(One form per Building)
o.,
School District. �/r/
Building Department No.
A.P. NumberJurisdiction:
City.
County.
Property Owner !� t4 ft QR£ J9A
ML
TAA1
Property Location/Address YC/ eQ
(�(�/ —
�D� LAI.
FiJ29ST /V7i1/,° k/
Subdivision
Lot No.
Residential Development
r ;71
Sq. Footage
No of Living
Mobile Home
Addition
(Group R)
Units
Installation
Commercial/Industrial
Sq. Footage
New
Addition
(Including Exterior
Roofed Areas)
Building Department Representative
Date
imoor rianjss rreviewea Dy acnooi uistnct rersonnei)
District Identification No.
'U'So School District certifies that PCW_0 de"t�"`
Applicant)
(Street Address) (Phone Number)
(City)
has complied with"the requirements of Resolution No.
representing yC1 square feet.
School District
Paid by Check #
Remarks:
(State)
(Zip Code)
by payment of $
I[FULL2MITIGATION $ II
Date
i5i
Notice: You may protest the imposition of the fees Identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit. a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this'project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
.White (applicant), Yellow (building department), Pink (school district) feeformAs (2197)dmm
'CO`INTYOFBUTTE-DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 f
PERMIT APPLICATION DATASHEET
OWNER RL�k��j �C X q' A. P. No
Proposed Building Use ' F 0—mg In UQ Date Ll
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 been submitted.
2 Pjpt plan , 3 4 sets, signed by preparer of plans . ......................... .
".mplete 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. ............
Fees of $ 16, 25 , ......................................... .
1.
Impact fees as shown on attached s taeddl .
12. California Department of Forestryplan-app raval/ ...... .
iL
13 Flood elevation letter 1100 year flo by California neer
9 ................
415�anitation and plot plan approval Health Department . ............ (. 14 .47
5.
City of Chico plumbing permit.
16.
Plot plan and business license approval from City of B.igg's/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). .. ..
20.
Pre -inspection for Preanspe6 o" requ�-
requlred. . . to Building Inspector (Date)
21.
Contractor's license information. (No., Name Style, Classification) . ..............
22.
23.
Certificate of Workmans Compensation Insure . .............. '
Owner -Builder Verification (Given to owner. , Mail to owner ) ............
24.
_
Recorded copy of Agricultural Acknowledgement Statement . ..................
25.
Letter of signature authorization................I.................t.
26.
Copy of recorded deed of parcel creation and 60 eight of way to a public road. .... .
27.
Letter of intent on building use . ........................................ .
28.
Mobilehome utility clearance . .......................................... w
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 . ...............
3l Existing violations/expired permits . ..... .............................. .
Pla&check lis . .. .... .............................
33.
34. v
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone 3yZ - 541 nd hold for pickup at (} I r o office. De it ver with inspector.
Other
Parcel Creation
Acreage Applicant O' 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
1. Index permit for above items No.
2. Additional items required:
nce:lCir,lepew item not checked above).
Contractor, designer(owner, as adv sed of above required' data by _)C phone _ mail Counter byDate 6—'--i
Contractor, designer, w er 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 �, e
Copy - Department of Public Works _ `NLC�� 7 7
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
11 0?0 el—l�Ge.�3--03'-0 9.03"-0 9
Owner tion APAP
Plan Approved for: Sewage Disposal , Water Supply: Public Private Well ._
Clearance for e. Other ' „� c
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/92
L� zYh,7
Date
_. - � .,, .^..ice- n -}r, ^-:Mk., `.sic^ " w. � -A... �-n. -- �rC ti. i :�w.,.. r:. w . � �• t .(' �1..�-'".'"'- --^�.y ti.. � r -v �... -.. -. - -ti _
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 959.65 TELEPHONE (916) 538-7541
SCHEDULE OF FEES DUE
OWNER c 12CI,/14 ovz A.P. # U 3 _0Sa —OC�
PROPOSED BUILDING USE .�/�' DATE &'C/—F7
1. BUILDING PERMIT FEES
-- Balance Due ................ $
-- Additional Fees Due ........... $
-- Additional Fees Due ........... $
-- Revised Plan Checking Fee ....... $
4Z 2. SCHOOL DISTRICT FEES
(paid at District Office)
3. SHERIFF FEES (paid at Building Division)
Residential ........ x $360.00 = $
Units
Commercial (sq.ft.)... x $0.03 = $
Sq. Ft.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit) . x = $
Commercial (sq.ft.) .. x =$
Sq:Ft. Amt.
5. RECREATION DISTRICT FEES
(paid at District Office)
6. THERMALITO DRAINAGE DISTRICT FEES
$425.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
REC # DATE REC
10. OTHER tb`
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the
building permit. These fees may be changed during the plan checking process.
APPLICANT w /�/• 4�DATE
Original -Owner Copy -Building Div. (Rev. 12/96)
::.....:y -.... k :.......:...... s.:.
O.B.— I
.......;...'::.:.}:..;•....::::;.m;r,.::<.:w'.c. w'.2;�.•.a�.:?.ci.,�.... ... r^oR;}haa.•.:.<.....•:...i�:;:.;•.;.;::'+.•<:::;vrr.:.•<`•';)<•:::>.::<::�;a;:.�:r:::<;;:
. •: • ' >� . . •,wK;, • .c;xy.... ...2w...v.:C:.•. •:.•:, i„ Jiocebe9g2>LOi.Q2.>,y;:.
DEt.
J.A.}�1�R�+-,:•'
.. •:
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: YESVJ . NO[ ].
2. I HAVE[D4 HAVE NOT[ ] signed an application for a building permit for the
proposed work-
3.
ork3. I have contracted with the following person (firm) to provide the proposed
construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I pian to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: COY-
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:
X PROPERTY OWNER:
• °14-U_r:
X DATE:
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.
0 VE R
Dear Property Owner.
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is 5300 or more for the ' entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer. you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance,disabili ry insurance costs, and unempIovment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract -the Internal Revenue
Service (and, if you wish. the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit. erroneously implying that the property owner is providing his or her own labor and material ,
personally. Building permits are not required to be signed by property owners -unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your.community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sina�rel
Michadl C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
ENERGY INSTALLATION CERTIFICATE
2Building Owner .C�jLts pvn� Building Permit # -�
Building Location �714119L ~`TFL %-11--
DESCRIPTION
ROOF
Materia
Thickness(in es)/ /77 -
EXTERIOR WALL l(
Material
Thickness(inches) -3 Vzl
CEILING
Batt or Blanket Type
Thickness(inches)
Loose Fill Type
Minimum Thickness (Inches)
Area covered(ft.2)
FLOOR, ELEVATED G(
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
OF INSULATION
Brand Nam
6�V4&
The --'=l Resistance (R Value)
Brand Name Z/
Thermal Resistance(R Value
Brand Name
Thermal Resistance(R Value)
Brand Name .
Number of Bags Wt. per bag lb.
Thermal Resistance(R Value)
G�
Brand Name
Thermal Resistance(R Value) �!
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building,
1s consistent with. approved buildirrg department --plans--and attachments .and- con-
forms with requirements of Chapter 2-53 of State of California Energy Requiremen
NAS_/OWNE STATE CONTRACTOR'S LICENSE NO.
644
I 111Sr.A1LA,±ION-A3FPLfCAT-0-k DATES
I hereby certify the required features, devices, and equipment, ab shown on the approved
Building Department plans and attachments have been installed and conform to the appli-
ance standards and Chapter 2-53 of the State of California Energy 'equirements.
BUILDING CONTRACTOR/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO.
(FIRM NAME)
SIGNATURE OF BUILDING CONTRACTOR/OWNER
HVAC FIRM NAME/OWNER (Please Print)
SIGNATURE OF HVAC CONTRACTOR/OWNER
DATE
STATE CONTRACTOR'S LICENSE NO.
DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION*
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
SEPTEMBER 1988
RESIDENTIAL
"0637050-009` PERMIT#97-1175
RumbRE, Paul & Jan
4920 Tippi-Toe Ln,, Forest Ranch
1 Conv Garage to Faml`yrm &Add Stg
JOB FINALED (Date)
Signature
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P RMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER TT
ZONING
BUILDING PERMIT
OWNER
TELEPHONE s
a .3 LJ_L
SQ. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS T
f5pre s 4,
CONTRACTORS NAME
/
TELEPHONE y o A
V 1 7- I' O V
CONTRACTORS MAILING ADDRESS c
S ?
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS r ;
Energy Plan Checking Fee
$
rV�e -�' QtiG
$
PERMIT FEE
S
LOT NO.
SUBDIVISION'S MIME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF Er Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
/
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ICY Other ❑
Describe Work: C A I!), u_14- e` %`e Li
(.siCi ¢'ems" h 'e GA-1!'rl--
Gas piping stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home Is191 W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Filing Fee 20.00
000R LES
Main Service 2001 OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is iinJ 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
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
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, f9r the performance of work for which this permit is issued.
My workers' comps i y�r nce car�je_c an licy number ere:
Carrier /Z �C/
Policy Number
(The above sections need not be completed i 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'
C ansation laws of Cal" nia, nd agree that rf I should become subject to the
work rs' compensation provisi sof section 3700 of the Labor Code, I shall
forth th comply w' a pr isions.
Date ld
Signa re Applicant - Owner ontractor ❑Agent
An SH per it is required for excavations over 5'0" deep and demolition or construction
of stru ures o er 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( a 1cc. eLDs. 3.5¢FT:
r,oµp�IpT MULTI.OUTLET
97,50
POWER APPARATUS
a SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES @'
BAL
Ex. Occup. ounFrs PRES,,D.LNSDEl
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00 3
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $
HAZ.
D. FEES IMP
ROOD
CDF
PARCEL
PO
HD
ISSU
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By IJ
PERMIT EXPIRES ON I z- /
�e
the applicable provisions
Resolutions to do work
been paid.
Date
�
Receipt No. 11;z p 0119 (1j
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
This form supplied by Longfellow Lumber.
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE
WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE
CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
I,
hotneS'F
)'ln_Q ,
Street Lot Number
Exterior Walls
Tract No.
Man ufacturerC01,1pug Thickness/Type _ R Value
Ceilin U�
G�/
BY ,��w� �: TITLE
� ce-[L
INSULATION CONTRACTOR
Batts: Manufacturer �teaPtti� _ Thicknesses_ R Value
fI
DATE
Blown: Manufacturer Yhickness
Ho. Bags Wt./Bag
Sq. Ft. Covered
I R Value
Floors
Manufacturer QL(J-Qc� Thickness/Type
R Value'
(� �! u ( �
Slab on Grade
Manufacturer Thickness/Type
R Value
Width of Insulation Inches
Foundation Walls
Manufacturer Thickness/Type
R Valued==
-.,
NER�L— OR n�
T
,
LICENSE NUMB
G�/
BY ,��w� �: TITLE
DATE22
INSULATION CONTRACTOR
LICENSE NUMBER
BY TITLE
DATE
VS
C V' PERMIT NO.
1663-77B,P,E,M
PERMIT EXPIRESJig
" OWNER Mike & Marilyn McGee
E,CONTR. _ owner
\n LOCATION (A.P. 63-05-9 )
W/S/Tippi.Toe Ln.,app.1700'S.of Fitzgerald Rd.,
i Forest=Ranch
Z
.4�,
Temp. Power Pole
Ca/led PG&E
Te Elec. Serv.
HOZ �Z
Called PG&E _
0"UnM 6-
T mp. Gas Serv.
Called PG&E
JOB
m 2, 7 02
FINALED
(Date)
(Sig htu )
9
WO7
b
flm
Setback
Forms
Main Bldg.
Footings
StemwaI I
Slab
Piers '
Garage
Footings
Stemwa I I
Slab
Carport
Footings
Slab
a 'lo
CSiUNTY OF -BUTTE — D'EPAFTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD .
Footings
Masopry Walls
Relnf. Steel
Bond Beam
Fraibing
Stucco
Mesh
I Scr6tch
Brown
Finish
Interior Lath
Door.: Closer
MnAii i:un"r
Water Piping
BUILDING (ConVA
Firewall
Parapets
Restroom Finish I✓�
Windows
Siding
Roof Sheathing
Roofing
Fdn. Vents
Garage Vents
Prov. for ph sically
handicappel
Conformance of ex. �=
structure
Final
FIREPLACE
Footinq
Final
Final
~
Heating
Cooling
Ducts
Ventilation
Final
UTILITIES ------------------ Elec. Service
Sewer
INSTALLATION - - - - - - - - - - - - - - Support
tz-6,
FIRE SPRINKL
Soil Piping
1st Floor
2nd Floor
3rd Floor
To out .41
Water P ping
Sewer .
Fixtures
Water Htr.
Heaters
Appliances
Gas Piping &
Temp. Gas
Final
Fixtures
PLUMBING
�-�
ECTRICAL_
Grd. Fault Prot.
Service
Temo. Pole i �a-7.:-%
Permanent --------
Final
-Final &-"'
Elec. Pedestal
Gas Piping
Elec. Continuity
Water Piping Drainage Gas Piping
DAVE y- REMARKS OR CORRECTIONS n
�,� -- � � ' � % ���'v`�`�fc�°k� ,cr.�,�aJl-�-.,vim-slv �•�- f ` �
10
4,5f,LA t°-. tt%,fvrk
#A— 1�r" 6'1"- &�S
�l (NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE
DEPARTMENT OF PUBLfC"ftRKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION OTICE
BUILDING OR PROPERTY ADDRESS
-11 �r utine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
�1% when corre�on of work is completed. If you have any question pertaining to this
�i r►ta t r;Aor need additional explanation, please .contact this office immediately.
fm MR-MM10
u
v6/A:�-- e
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC VORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
COR ECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist t the above address and should be corrected. Please notify this office
w n correction of work is completed. If you have any question pertaining to this
ter, or need
additional explanation, please contact this office immediately.
al 17 Apt) 32-1
t
!nsp or Date i-
COUNTY OF BUTTE
DEPARTMENT OF Pt7BL-IC VJORI(S
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
C® ECTION NOTICE
166
ILDING OR PROPERTY ADDRESS
Y6-
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
rq 'ter or need additional explanation, please contact this office immediately.
1
Inspector Date
0
' COUNTY OF BUTTE
• DEPARTMENT OF P6BLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CO ECTION NOTICE
BUILDING OR ROPERTY 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
utter,,9y need additional explanation, please contact this office immediately.
Inspector D�T 1
COUNTY OF BUTTE
• DEPAIRTMENT OF PUBLIC �1VORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
C
DDECTION NOTICE
7.":� -�//' 6 a 7 ,
UILDING 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
matt r ne d�additiona�l explanation, please contact this
office imme iately.
�0 .
0
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY -REGULATIONS.
CALIFORNIA ADMINISTRATIVE CODE. TITLE 25. STATE OF CALIFORNIA. 7N THE BUILDING LOCATED AT:
T iftpi-e T C P
ee o Number . . Iract No.
EXTERIOR WALLS
Manufacturer Thlckness/Type R Value
CEILINGS
Batts :---_Manufacturer. -_--. Thicknesses R -Value
Blown: Manufacturer r iaa rd Thickness o. BagA R Wt./Bag V)
SQ. Ft. Covered 18 3 5 R Value 19
FLOORS
Manufacturer- Thickness/Type R Value
SLAB ON GRADE
Manufacturer Thlckness/Type R Value
-
Width of insulation Inches
FOUNDATION WALLS
Manufacturer Thickness/Type R value
GEN CON j1tAC LICENSE NUMBER
By (///� TITLE DATE
INSUW10 4TRACTOR T ION LICENSE NUMB 212461
BY lE Owner DAT, 7 8
V
COUNTY OF BUTTE — DEPaRTMFNT OF PUBLIC WORKS
7 County Center Drive — Uroville, California 95965' 3-77
Telephone: 534-4541 ��
APPLICATION AND PERMIT Y
BUILDING
Owner IVI + Kr 4,,� mr,/� ,V C ���
SQ. FT. OCC. BUILDING VA DATION
/ a C90
Mailing Address 13 1. (
o
Tjephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee Y. DO
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 `3.00
r, S'7 $ fpr T( 7-0, r, (ANr,
Each Trap j( 1.50 j Q
%d0 )Ci So .4'74 CirRras D
Repair drainage or vent piping 1.50
Water piping 1.50 f y^Q
b�Es7 %, �onTrt,O Verification Only
Each gas water heater or vent 1.50
o
A. P. No. (, 3 -e�y (
i'Yl�s
Zan �x
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
FWs
Saig FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
arcel
Declaration
Parcel '7
P
60' R/W
Im r
p ovements
Lawn sprinkler system 2.00
Bld ens Recd
�-:rl�rcL-Afp-rovol
P Approval
Permit Fee $ C)+ C
s..
$�
NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
+l
PERMIT FILING FEE $3.00 'A,oc
Main service 100 AMP OROR SLESS 5.00
Main service EA. ADD'L too AMP 2.50OVER
J
'
Single Family Duplex ❑ Mobil Home ❑ Others ❑
6300V
Main service 00 AMP OR LESS 25.00
Main service EA. ADD'L too AMP 1.00
NEW CONST. DWELLING OC, Pb&
OR ADDNS. ACC. BLDGS. iia ) 2¢sgft 3,9,v
NEW CONSTR. MULTI -OUTLET
NON.RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &)
NON-RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
st le of:
Y
!
Ex. Occup(OUTLETS OR FIXTURES) 50 BAL21
Ex. QCCU FIXED APPLNS. OR
P• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ 41'e;
$ / 0Ct
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
0rlcertify 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 the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00 10ro
Heating omv 3P?gp o
Cooling `T�:{
Ventilation
Hood 2.00 X. 1D
Permit Fee $ yo
$ i sm
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
/L p n/ c nna N %
TOTAL PERMIT FEE
aU U{UIILU IVPIVJUJILGlIVCS UI UIe VUUIILY UI [SULLC LU enlel Upun Ine
above-mentioned property for inspection purposes.
X 24; 14. %) C I.C[ t . I)ILUC-e- Dat141
Signature of Permitee or Agent
Receipt No. 42
White-D.P.W. — Yel -JQ Mnk-Inspec d4%e&®- .pplicant
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.
DIRECTOR OF%PUBLIC WORKS
B;/
uil/ding permit expires Date
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX, & MISC. ONLY)
Bldg. Permit #k /(0 l0 7-,7
OWNER �A . P. # �6I 3 —/ S �I
A. GENERAL �i//�+ �+/�2 �'^'
1. Zoning requirements (sideyards and parking). a
2. Valuation.
3. Signature by R.C.E. or Architect (if required) . �011..% /�LI4'� l"
B. PLOT I.AN '
to parcel size and dimensions. '
Setbackp, sideyards, easements, etc.
3. Other buildings or structures.
4. Grading, fills, drainage.
C. Fy6�PLAN
1. mp ete to scale plan with dimensions.
quired windows for light and ventilation (Sec. 1405). T.r'cGl
Required windows for second exit (Sec. 1404) . ��Q� �X Zp % �a
✓ 1. owable glazing for energy requirements (20°/ e State law
uman impact ss (Sec. 5406).
e - uired room sizes, ceiling heights (Sec. 1407).
G.F. is in baths and xterior tlets (Sec. 210-8
fixtures, ches, ceptacles, and exterior receptacles for maintena of
C 'cal equipment.
9. Loca ns of er heate heating & coolingequipmen other electrical or gas
e ' ment, and plumbing fixtures.
10. Ga firewall, door size, and closer (Sec. 503(d)(4)).
1 - " exterior exit door (Sec. 3303d).
lace location.
eA,s 13. S e detectors (Sec. 1413).
D \\
'on Ian complete a construc ui inO�
Floo struction details complete enough to construct building.00.
tions and wall construction details complete enough to construct building.
nstruction details complete enough to construct building.
Fir -ace construction details and calcs if over one-story in height.
ufficient data and details to satisfy energy insulation requirements (State law).
EMS TO LOOK OUT FOR .
-8nexposed locations and overhangs.
2. Stairway details (Sec. 3305).
3�ardrail details (Sec. 1716). w^
Exterior veer - weep screeds (Sec. 4706 & 4708).
46 - pitch for roof covering (Chapter 32).
•7��Rafteror bearing ridge beam.8or porch header sizes.
Adequate brae';9Z
-rp� ^��� M�o Mete 1 -hour separation required including supporting
14
Owner
Mailing Address
COUN BUTTE — DEOARTVENT OF PUBLIC WORKS
7 County Center Drive OroviIIe, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
BUILDING
SQ. FT. OCC. BUILDING VALUATION
A I Tel eohone No.
Contractor
Mailing Address
Fireplace h441-5 1P
Total Valuation
'ZS
Telephone No.
Permit Fee
Building Address� / 4 ��
Plan Checking Fee&/or Penalty
Permit Fee
6
PLUMBING
No. @
Of f
PERMIT FILING FEE
$3.00
Each Trap
1.50
Repair drainage or vent piping
1.50
oe
A. P. No.
I Zoning & Planning
Water piping
1.50
Each gas water heater or vent
1.50
&-S,
-6a4i4at+on
FireDept. FireZone
Use Permit
Gas piping system 1 - 5 outlets
1.50
EQA
Parking
Plans
I Parcel
Declaration
Parcel Map
60' R/W
I Improvements
Each additional outlet
.30
Building sewer
5.00
EMIg. FlanT-Rvt'd I
Parcel Approval
Plans Approval
Lawn sprinkler system
2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER R
Permit Fee
$
a—<
ELECTRICAL
No. @
PERMIT FILING FEE
$3.00
600V OR LESS
Main service 100 AMP OR LESS
5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADO'L too AMP
2.50
Main service OVER 600V
100 AMP OR LESS
25.00
Main service EA. ADD'L 100 AMP
1.00
NEW CONST. DWELING
OR ADDNS. ACCL'BLDGS.CCUP. SI)
22sgft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
NEW CONSTR / BRANCH CIRCUITS)
.NON-RESID, l BRANCH CIRCUITS
2.50ea
NEW CONSTR (POWER APPARATUS a
NON.RESI D. SINGLE OUTLET CIR.
Ex. Occuv(OUTLETS OR FIXTIIRES
B L ,a
Ex. QCCU FIXED APP LNS. OR
p• OUTLETS (RESID•) EA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
License No. Classification
Misc. Wiring
6.25
am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which re vires eve e I r t be ' s d a t I' b'I1'
MECHANICAL
No. @PERMIT
FILING FEE
Heating
q ry mp oye o In ure gains la I ty
for Workmen's Compensation.
ElI have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
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 the Workmen's Compensation Laws of
California.
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
author' representativ of the County of Butte to enter upon the
a e -me ioned p erty for inspection purposes. (�
j 2 U
Date �` v
Signature of Perrmmiittee or Agent
Receipt No. 1 ?f y o 6 6
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
Cooling
LZI
FEE
FEE
FEE
Ventilation
Hood 1 2.00
Permit Fee $ $
Land Development Fee $
TOTAL PERMIT FEE is
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.
DIRECTOR 0 PUBLIC WORKS
BYDateL(–%�
ding permit expires Date
�3
� OA_ ` G
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS '
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
1 /,/,* t 4 0'7-2- K3
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 YoPh
ave any question pertaining to this
matter, or need additional explanation, ease contact this office immediately.
fr ;tib/M�
IV "'-j
r4'.1
.. (.�
Inspector 'i' 1<Date /')' . ".7
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
. 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
s f°
OWNEA 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 addiitiioo at explanation, please contact this office Immediately.
Inspector_. - Date
sk
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS'
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
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.
t0000
�, �y
d 0.0
9
ZI !Y �
L/4.1 1 I Chili 41-14'e
1�t
Inspector_ _ Date
COUNTY OF BUTTE I
DEPARTMENT OF PUBLIC WORKS '
,196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION�52'OTICE
.�.
14, . - -
BUILDING OR PRgPERTY 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
;natte.r,/or nRd)additional explanation, please contact this office immediately.
Inspector ../ Date /�/�
County of Butte
DEPARTMENT OF PUBLIC WORKS
695 O!eander,Ave., Chico — 343-4211, Ext. 70
7 Covaty Center Dr., Oroville — 534-4541
✓ Skyway and Elliott Rd., Paradise — 877-3435
CORRECTION NOTICE
.1�.,(Op.d4..................................&..1...2i�...
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.
Ql.�.......-�.a....�o ��1 �,t...T ......................
..............
°....... J ....... kKy..................................
Ij
........................ ...............................
...............! +6.............Ca . Q ...... l..� L.G.�o ..........
.. ......
........................................................................................................................
....................................... ............................. ...................................
Date.`�IZ- Z. Ins eo
Do Not Remove This Tog
(400-4)
23
PERMIT NO.
PERMIT EXPIRES !IZR
OWNER PAUL RUMORE
CONTR. owner
ASSESSOR PARCEL XEK2XX 63-05-9
LOCATIONW/S Tippitoe Ln, 1200'SW of Fitzgerald
Rd; Forest
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALILD (Date)
C.
Signature
Jr
E
V = OKE
O = Nqf bK e�
MbtApplicable RESIDENTIAL (Sin'gle and Duplex) '
a"Not Ready -
Date .'
UNDE FLOOR Plans OK exce t
Date
FRAMING Continued
Zon' requirements -Set ks-Eaeertl2Rfs/ Q
roperty Line Firew pentngs
Elec. - / /" Ftg. Depth
4 Doors-Orw_1A-theck G - rdstory, 2 ®xit�
tg., Garage; Soils -Steel- / ,2 /" Ftg. Depth
50. Stairs, w i - eadroom-Rise-Run-Landing-Fire Protection
- eel- / /" Ftg. Depth
lywood on Roof erhang-AttictyaRttirk.& iggers
ing-N -Ve o0
emwal ,Garage; $6oel�blociceet� Weed
- p Screed-Fdn. Vents-Underflr. Access
F
zing Area -Glass Protection -Skylights -Plastic
-
ing-Bolts
1
%
. Electric; Underground - j7 4& 4-
I e -Material -Support -Ins. cab
1 -Vents-Cripples
Card -BI
Dat - Card -BI Date
;;G A91, -w lyl i¢/fiL D
Card -BI
Date Card -BI Date
OF
Card -BI
Date •Card -BI Date
Card -BI
Dat Z 82; Card -BI Date
Date
FII,fAL (Plans) OK except #'s
Card -BI Dat l" _i Card -BI Date
Date
PLUMBING (Permit) A except #'s
Ext. Steps -Door & Sidelight Protection -Landings
-
14. Water HL; Vent -Ar -cess -combust ion Air
_ rance-Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & A chors-Nail Protection
16. D.W.V.; Test-Ftt & Anchors -Nail Protection
room xiting
17. Shower Pan; T t, First Floor -Tub Access
-" �' t •res & Tub Access
18. Test Tub & Sho er, 2nd Floor -Tub Access
Elec. Tri ubpanel; reaker Sizes- bels
19. Gas Pipe; Size & nchors
t s
rt It
4. Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
- o Clearance
Card -BI
Date Card -BI Dateeceptacles
at Kit. Counter
Date
TRICAL Permit OK except #'s
r -Closer
uc to Garage -Damper
MK Fixture &Transformer CI arancens. Protection
6g wry Ht• at
Vs -Clearance -Comb. Air-Connector-P.R.V.-
An Garage; Above Floor-Mech. Protection
Elec. t cles S ingi & Sw es at Doors
Size B No rs tuds
Plb., Elec. & Mech. Equip. Listed for Location
3. Romex Installed lose to Edge of Studs & C.J.
,,Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
Equip. Ground made up w/Mech. Fasteners-
Insulation -Foam -Looked in Attic EJ Yes
Deck Construction -Post Caps
ize
_
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
Fdn. Vent�,n,&� ravel Hole Door -Drainage &Wood -Earth Clearance
/Look edQnfdBltFToor El Yes
2I No - ve trc. / / ga. Cu or At,
7%. Following instld.: Drive- Yes []No; Walks Yes ElNo;
Planters ❑Yes RrNo
V. §ervice-Riser Conductors &Ground -Main Disconnect
'Wish
Equip. Clearances; Panels-Motors-Mech. Equip.
�F--A-g.-*h"+-Clrnces-Brkr. & Cond. Size -115V Outlet
h
en -Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
Ot
Water Well; Disconnect, Electrical, Plumbing
80 Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date and -BI Date
entilation throughout House
Card B -I
Date
Date Card -BI Date
MECHANICAL (Pe .it) OK except #'s
lass Protection
Corrections from Previous Inspections
as Test -Meters Tagged; Gas -Electric
31, A.C. Ducts; tfnsulation & Support
Water & Sewer Connected -C/O to Grade -HD Approval
32. Vent Fan; Ex above Insulation
Energy Compliance Certificate -Other Certificates
_
33. Condensate Dr & Overflow; Size & Grade
34. Furnace -V Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Acces &Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
_ Date Card -BI Date
Card -BI
Date and -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING Plans) OK except #'s
Comments at Final:
_ Is; Prop r Materic ors
Walls; -N 'I' , p g & B -Plates' Sbvnd�
338. Oearing� over Girders & Floor Nailing
_4
39--4N"+t-_toRin-Walls (rat proof)
d Ceilings -Stairs -Chases -Tub
. rs- _ -
Han s-ConaecterS�
_4t.--H0aer &Beam-_Siza._�e_
Cing`rr=Hogj�ec--T-mn-SWwm_=RfAgr
ue-Fireplace Throat
_ Romex Protection -Draft Stop -Ins. Baffles
Doors -Sill Hgt. & Dimensions
4_efage tprtFnn Framing
(NOTE: An entry must be made each time you visit job site)
OK
O = •Not OK '
- Not Applicable MOBILEHOMES MISCELLANEOUS L
- Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
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.-Shing.-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/ P'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 It'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
5. Drain; MH Test -Fall -Flex Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Elec.; Receptacles and Lighting; Distances-GFI
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 Lghig.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
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
k COUNTY OF BUTTE.- DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California,95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
AS ESR -AFZ_CEL N=M6
�S
ZONING—
BUILDING PERMIT
ow R
�GI.L 2�Cm0�E
rE EPHONE
Z s%10
SO. FT. OCC. BUILDING VALUATION
OWN MAILI G ADDRESS
• �D�EST 2AtiC
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRU TI� ER
UNKNOWN
Total Valuation $
Filing Fee gf-$
10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 4A,00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 37� d
BU LDING�ARES` Z.
//'J'
PLUMBING PERMIT
Filing Fee 10.00
Cci .Ato ,
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTU
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.&
OR ADDNS. \ ACC. BLDGS.
t
2h1tsgft
CONTRACTORS LICENSE LAW
I declare under penallty of perjury (check one):
F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
cerise No. Classification
I, as the owner, or my employees with wages as their sole compen-
work,and
sation, will do the workand the structure is not intended or offered
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
fo his ason
NEW CONSTR ULTI.OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS
NEWCONSTR.( POWER APPARATUS WI
NON .R ESI D. SINGLE OUTLET CIR,
20®50e
FIXTURES 9AL®ao
Ex. Occup(o XED
APP
FIXED APP LNS, OR
Ex. Occup. OUTLETS (RESID,) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare and 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
f Consent to Self -insure.
lYJ ' shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
jalso agre to sa , In emnify and keep harmless the County of Butte against
' ie dgmen , costs, and expenses which may in any way accrue
t sai my in onsequence of the granting of this permi .
Date �"
re of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
of structures over 3 stories in height.ceipt
Mobile Home Installation Fee $
TOTAL PERMIT FEE$S�� Q
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
ND
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.
DIRECTOR OF PUBLIC WORKS
BY Date 274
PERMIT PIKES Date �� "
Lion,
No. ���
TE-D.P.W., YELLOW-ASSCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
NON
r
COUNTY OF BUTTE,- 0EFARTMENT OF PUBLIC WORKS PERMIT NO. /
7 County Center Drive - Oroville, Californiar95965 - Telephone 916/534-4541
-~ APPLICATION AND PERMIT
ASS SSOR PARCEL NUMBER
� _
ZO NG
�_SJ
BUILDING PERMIT
OWNER
L J
TELEPHONE
D�
SQ. FT. OCC. BUILDING VALUATION/
OWN nMAI LI A RESS
C, rAME
c. -I -A-1
TELEPHO E
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWNTotal
Valuation $
O
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ D
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 12 Q
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING DR S
(�JYy
PLUMBING PERMIT
Filing Fee 10:00
S
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping 'A"
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each pas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCT E
SF ❑ Duplex❑ Mobilehome❑ Other ;�eil4f/#'
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel F1 Uti lities ❑ Installation ❑ Other ❑
Describe work:�enle i61
M-1 Pt 7-,4C/AE/_D a%q2/' 4, E OAJ4�t
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service OOOV OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2,50
NEW CONST. ( DWELLIN P.M
OR ADDNS. \ ACC. BLD
) q ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
[1K1, 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 NON-RESID RLBRANCH CIRCUITS 2.50 ea
NEW CONSTR. (POWER APPARATUS hI ,
NON-RESID. (SINGLE OUTLET CIR.
DO @ 25C
Ex. Occup OUTLETS OR FIXTURES BAL@1
FIXED APPLNS. OR
Ex. OCCup.(OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $ 4
Contractor Lljitl4lown%
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
Consent to Self -Insure.
�f'
L� 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
S
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
scosts, and expenses which may in any way accrue
all li 'ties, judg2noiiiseque
aga' st s id Co ynce of the granting of this pVrit.
9Z U
X Date
Signature of Applicant — Owner Fk� Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $fo
occuP. GROUP
�_�
TYP oP NST.
PARC
PD HD
ssu�
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By �/�
PE I? EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date�Z—�-rP�
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
-7 County Center Drive - Oroville, Calif4)rniaw95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT
f� r
ASSESS//`` �i�R
��
BUILDING PERMIT
ow.0H��
SQ. FT. OCC. BUILDING VAL ION
OW 'S MAI ADORE
_6. En x S
CONT�ACTQFi'$�pt�y�
TELEPHONE
CON/T`nRi\A`(CJTOO�R•'SS MAILING ADDRESS
Fireplace
CONST CTI ENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHIT�QT OR gINEER
���CCTV1 /►�/'1 CG/
LICENSE NO.
Plan Checking Fee
,$'
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
A
Permit fee
$
UI DING AD RE ---
PLUMBING PERMIT
Filing Fee 10.00
S
Each Trap
2.00
Solar Water Heater
20.00
A"
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
USE OF STRU�]RE.
SF ❑ Duplex ❑ Mobi lehome ❑ Other T �� �' ��
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: /rT
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 %fj D D
Main service EA. ADD'L 100 AMP
2.50 _D
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
V4sgft
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.
(cense No. Classification
as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULTI-OUTLET
NON-RESID BRANCH CIRC ITS. 2.50 ea
NEW CONSTR. (POWER APPARATUS &')
NON-RESID. %SINGLE OUTLET CIR.
Ex. Occup 20®50e
P(OUTLETS OR FIXTURES SAL®30
FIXED APP LNS. OR
EX. OCCUp. OUTLETS (RESID,) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee
$ Zj
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
f Consent to Self -Insure.
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
FiIIng Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, i ify and keep harmless the County of Butte against
all liab' ' jud ents, c sts, and expenses which may in any way accrue
aga' said ou y in cons quence of the granting of this p rmit.
=71 r Date jd
Si'll,u�e of Applicant — OwnerK Controctor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCcUP. GROUP
TYPE OF CONST.
PARCEL
PD
HD
IssuE
This permit is hereby issued under
sions of the Butte County Code and/or
wor indicated above for which
DIRECTOR OF PUBLIC
BY
PERMIT (RES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
p
Date
t
Receipt No. 1� S4_6 Z
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
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