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HomeMy WebLinkAbout064-350-05664-35-56 Mike Haley 120 Decatur Way, lot 200, PP#4, Maga. f Permit #127-80B,P,E,M(new single family) • �/ /' i o ' TIJ'ltf I /�-i3/d A-35-56 Permit #4774-80P(gas piping)SF 64-35-56 Permit ' #3892-81�i40B•�(inst . woo �buring stove/SFz / - f { t i - i a J i AW 0 COUNTY OF BUTTE - DEPOTVENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESS RP RCEL N BE NTNG r" BUILDING PERMIT owN T LEPHONE SQ. FT. OCC. BUILDING VALUATION ~ OW 'S (LING ADDR r I ) / CONTRACTOR'S NAZ TELEPHONE CONT TOR'S MAI G ADDRESS Q CONSTRUCTION LEN ER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDR SS - Permit fee $ BUILDING AD RE PLUMBING PERMIT Filing Fee 00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOOT NO. 2-04) SUBDIVISION r,AME # w P RCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets o USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New Addition Remode4D Utilities❑ InstallationC Other Describe work: D _ N Permit Fee $ , Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP ORSLESS 5.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. OR ADDNS. ( ACCLBLDGS.LING CCUP. h\ / 20 sq ft CONTRACTORS LICENSE LAW p i y (Check one): I declare under penaltyof perjury ) ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. U TI.OUTLET NO _RES'.. . BRANCH PIRA CU, 2,50 ea NEW CONST R. (POWER APPARATUS & 1 ONS NON .RESID. SINGLE OUTLET CIR. 50625¢ Ex. Occup(o TS OR FIXTURES BALe 10s (FIXED Ex. Occup. ( OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 2.00 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 Countyof 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 Cou_n y in cons que• a of the granting of this permit. r X ` Date10 Signature of Applicant — Owner Contractor ❑ Agenr ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ %J , Q OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which I XQFPUBLIC - By (2 PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date _ Receipt No. c42 �3 -7 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT J COUNTY OF BUTTE - DEF'AkTMENT OF PUBLIC WORKS PERMIT No. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454 //2 APPLICATION AND PERMIT ASSESS'9 R P RCEL N BE91r, r� _ TNG �—L BUILDING PERMIT OWN T LEPHONE SQ. FT. OCC. BUILDING VALUATION OW R S WAILING ADR 55 t � r s� CONTRACTOR'S A r� TELEPHONE CONT A TOR'S �MAILIIIG ADDRESS CONSTRUCTION LENDER - UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDR SS Permit fee $ BUILDING AD RES,$ PLUMBING PERMIT Filing Fee /(hoo Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO.SUBDIVISION N ME, (�- rr-9-0-6 iP ? , P CEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets , USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New❑ Addition Q Remodel❑ Utilities❑ Installation❑ Other Describe work: Q (� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 1000V OR 0 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST DWELING OR ADDNS. (ACCLBLDGS.CCUP.&) 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of theBusiness and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULT( -OUTLET NON-RESID 6RANCH CIRC ITS 2.50 ea NEW CONSTR (POWER APPARATUS & NON -RES,D. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50@25a eALLm 10C FIXED APP LNS, OR Ex. Occup.(OUTLETS (RESID.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6,25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of_Butte against all liabilities, p ments, costs, and expenses which may in any way accrue again said Coun in=onsquea of the granting of this permit. X Date (� Signature of Applicant — OwnerContractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.Receipt Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE ��� �� OCCUP. GROUP I TYPE OF CONST. PARCEL PD 1 HD 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which WCF BLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date -q—/6 -?b �. No. �a /, WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works ' 7 County*Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIF ICAT ION Attention Property Owner: An "owner -builder" building permit has been applied for in your nameand bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity.to avoid unnecessary delay in processing and issuing your.build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed,property improvement (yes or no) 0 2. I (have/have not) to "C- signed an application for a.building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construct on; Name., Address Yui.►-aCLose- 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: -1, Ca Property Owner Social Security, num er Date ��( /60 I NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville! Califo`Lnia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ` ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fir( , , Total Valuation $ - Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑`- Describe work: - - Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 100 AMP ORSLESS 5.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.EI' OR ADONS. ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑, I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. TI -CU LET 2,50 ea NO BRANCH CIRC ITS NEW CONSTFL / POWER APPARATUS e� NON-RESID. \SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES a �@` (FIXED APPLNS, OR Ex. OCCup.0UTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject -to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee 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 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. Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ e, OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., FELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS/ ORKS PERMIT NO. 7 County Center Drive - Oroville, Californi 95965 - Telephone 916/534-45 �/3� APPLICATION AND PERMIT ASSESSOR ;;CEL NUMBER- 5`"'UILDING ZONING PERMIT °W//C CL= LrF�/gj7HOf'yy/Z "/./TV G/ /�/ SO. FT. OCC. BUILDING VALUATION �L✓� OEFS MAI O/\ R7ESS �%� V CONTRACTOR'S NAME 0WAJ �2 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace 00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ QQ�.00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ �. o ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 2�� p t7 BUILDING ADDR SS %d D���! �,e/(�L PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 A/19-6 41-/t -- Water piping LOT NO.SUBDI VISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel Uti kitties ❑ Installation Other Describe work: I %7ALt v_ ��� ���'v�N S� Vc— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10Dv OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.S1� OR ADDNS. ACC, BLOGS. 20 sq 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.FIXED License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and`the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW coNSTR OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS 6\ NON.RESID. SINGLE OUTLET CIR. / 50 @ 23¢ Ex. Occup(OUTLETS OR FIXTURES BAL�1 APPLNS Ex. OCCup.(OUT ETS (RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee 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 all liabilities, judgments, costs, and expenses which may in any way accrue agains said Courylly in conseq n of the granting of this per it. XL�I Date Signature of Applicant — Owner ontractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct-CTOR ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PD HD 199UE This ermit is hereby issued under sio f the Butte County Code and/or w k*,cdbove for which OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /0 ' 3 Receipt No.—, 4 v ?� WHITE-D.P.W-. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT • N , F f COUNTY OF B�tTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your nameand bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received: 1.- I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) YQs 2. I (have/have not) -Ate 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 "'Tvne of Work Signed: Property Owner 4�2" Social Security number Date - I&t 4 73g NOTE: This Owner -Builder Verification is sent to,you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to,issue the permit. PERMIT NO. 127-80BP,E,M PERMIT EXPIRES OWNER Mike Haley CONTR. owner 64-35-56 LOCATION (A.P. I -120 Decatur Way, lot 200, PP#4, Magalia IT -Z Temp. Powe Pole Cal ledyp&E <nmo E/c. Serv. ,Call, d PG&E el,� -Cl* Temp. Call as Serv. C I C lied PG&E 0 FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC' WORKS BUILDING INSPECTION RECORD Patio 47 7 ova � y- //� r��/>lCcj� ��G f �l �(d�f�+ 44lk'��a D� --(1VDTE: FIREPLACE Flo s BUILDING BUILDING (Cont'd) PLUMBING Setback p,.- o QD Firewall Soil Piping Forms - - - p Parapets Rough , " ' O ® 1st Floor d v Q Main Bldg. Restroom Finish 2nd Floor Footings .7 ,- p4& Windows -- t&' 3rd Floor Stemwall - -?O 4&P Siding J"71V_ Framing b To out O Slab Roof Sheathing - .-gD Water Piping Piers 7_27,0 -Ab Roofing e1_11_X0 ® Sewer Garage Fdn. Vents - MECHANICAL MECHANICAL Fixtures 1-J 111 Footings Stemwal I �- O -A' d ® Garage Vents Insulation Heating a Water Htr. ;�_Z Heaters Slab -Jif - 2) Carport Footings handicar pehysical y Conformancdde of ex. structure Brown A (lances Gas Piping &Test a0 U 1" Temp. Gas Slab Final Sanitation Patio 47 7 ova � y- //� r��/>lCcj� ��G f �l �(d�f�+ 44lk'��a D� --(1VDTE: FIREPLACE Final time you visit Footincis Footing ELECTRICAL Masonry Walls Throat Rough , " ' O ® Relnf. Steel Final Fixtures s `� `\ Bond Beam FI E SPRINKLERS Motors w Framing b Test Water Htr. -G — W Stucco Final Subpanels Mesh MECHANICAL MECHANICAL Grd. Fault Prot. Scratch Heating a Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation O Permanent —Z -4©0 Door Closer Final Final � MOBILEHOME UTILITIES ---------•-------- Elec. Service Elec. Pedestal 417,14,A(I A0 /e99 PPI , 4e4.u// �/o / ® I MOBILEHOME INSTALLATION - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping ,4 'V DATE REMARKS OR CORRECTIONS zy O°19 �/` �fu��v✓� � .�Gc11� 4 7 � � �G. �r4.�i 0/6 ��s �/ �a/� �s 41os4f� ycr� C�/c o,� ��► ov7 Cc% 7'er;6 1!v£ CJiwic, S£<Cd C r V ow >0 14,W/ zl- 1. � f5C lid 6elw s��2 S �.�o��r`/tt /f'" 44aaz 7 4 ��� �r�iiccl� Q! d `�L /s(.01�%fit 47 7 ova � y- //� r��/>lCcj� ��G f �l �(d�f�+ 44lk'��a D� --(1VDTE: An entry must be made on t is form each time you visit the job site.) ®1l &U >A't ����/ �pL.t✓4Gi U�7 D 441tocf g-d4. LU- 61v T AAb,14 CI(G w& oe. *."tAld faJ- /' /' j_ Zo 4a Sc., -/S ec .. . S£q 2 JW- C�l o.ti /lOo D�L AlOfi%dE u (Q � iLw aL G!o>Crts ,./ /Q�N % G(G vr' �c•t y UlJ IcJ u[� W'(s�£eaE .mac ckXIVC40 � w/44 ✓ U 47-�Z"'I'l at go' 40v 1 dr fvs ,riot. aid l q/EEd ,yr may£ laAlq Ed Q pie,& � �f, v✓ Jloli � 9 RES IDENT IAL ENERGY CONSERVATION STANDARDS' CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH URRE�NT- ^E_NER CONSERVATION REGULATIONS AT /�Zy R `altar , Qhll Gl.��lx �JYI P.CL (location) / BUILDING PERMIT NO. /c-% -A:P. NO. 64- THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) s INSULATION: Slab Edge. Fdn. Walls Floors Walls Ceiling/Roof Ducts Circulating Pipes APPROVED HEATER APPROVED WTR.IiTR.. GLAZING: / Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS._ t/ BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES 1/" 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 SPBM.ITTED. Insulation Applicator Name (pleas Signature of Insulation Applicator int) Statq Contractors Lice se No. General. Contractor/Owner NameCLIQLl e ri t) Signature of (plea General Contractor/Owner Date `- %-ro State ontractors License No. 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. M E C H A N I C A L Check List ❑ Permit ❑ Underfloor Stage ❑ Underfloor Supply Plenum: (1) One-story. (2) Clearances. (3) Combustible material. (4) Insulation and vapor barrier. (5) Access. (6) Catch receptacles and registers. (7) Fire -stopping. (8) Boots. (9).Supply ducts. (10) Gas lines and plumbing cleanouts. ❑ Ducts: (1) Size. (2) Materials. (3) Support. (4) Fittings. (5) Wrapping. (6) Insulation. (7) Clearances - ground, crawlspace, cleanouts, plumbing, etc. ❑ Combustion Air: (1) Size. ❑Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. ❑ Framing Stage ❑ Heating: (1) -Approved appliances. (2) Accessibility..(3) Clearances. (4) Combustion;air. ❑ Vent and Connector: (1) Approved. (2) Size. (3) Clearances. (4) Cap. (5) Termination. ❑ Ducts: (1) Materials. (2) Size. (3) Support. (4) Fittings. (5) Insulation. (6) Fire Damper. ❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings'. (4) Insulation. (5) Condensate drain. F inal ❑ Heating: (1) Accessibility. (2) Combustion air. (3) Safety controls. (4) Electrical connection. (5) Fuel shut-off. ❑ Cooling: (1) Accessibility. (2) Support.- (3) Controls. (4) Pressure- relief valves. (5) Class 2 refrigerant. t 5/79 P L U M B I N G Check List ❑ Fixtures: (1) Approved. (2) Stability. (3) Clearances. (4) Trapped. (5) Connections. (6) Cross -connections. (7) Dishwasher Air Gap. 5/79 r ❑ Permit ❑ Underfloor Stage ❑ D.W.V.: (1) Sizing. (2) Materials. (3) Fittings. (4) Grade & Support. (5) Cleanouts & Accessibility. (6) Clearances. (7) Rough -in Lodations ❑ (8) Wrapping. (9) Test - including "Ts".� (10) Additional test not required.* ❑ Water: (1) Sizing. (2) Materials. (3) Support. (4) Test. (5) Wrapping. ®,r (6) Dissimilar metals. (7) Service regulator installed or not required.* ❑ Gas: (1) Sizing. (2) Materials. (3) Support. (4) Log Lighter. (5) Wrapping. 0 ❑ Framing Stage (Top Out ` D.W.V.: (1) Size. (2) Vent Area & Termination. (3) Materials. (4) Fittings. (5) Grade & Support. (6) Cleanouts. (7) Traps. (8) Nail Protection. _ (9) Plumbing Access. (10) Toilet Clearances. (11) Shower size. (12) Shower'Pan Test. (13) Vents - turns, horiz., runs, loop, wet, etc. ❑� (14) Additional 2nd floor test not required.* ❑ Water: (1) Pipe Test. (2) Mixer Valves. (3) Support. (4) Roof drains. ❑ Gas: (1) Size. (2) Materials. (3) PR Valve Drain. ❑ Water Heater: (1) Vent. (2).Location..(3YPR Valve Drain. ❑ Final D.W.V.: (1) Connected to sewer system. (2) Special systems. ❑ Water: (1) Water Source. (2) Shut-off. (3) Anti -siphon Valves. ❑ Gas: (1) Testa (2) Connectors. ❑ Water Heater: (1) Location. (2) Accessibility. (3) Clearances. (4) Stability. (5) 18" Garage Floor. (6) Mechanical protection. (7) Combustion Air. (8) Draft Diverter. (9) Vent Connector. (10) Vent. (11) Shut-off and connector. (12) PR Valve & Drain. ❑ Fixtures: (1) Approved. (2) Stability. (3) Clearances. (4) Trapped. (5) Connections. (6) Cross -connections. (7) Dishwasher Air Gap. 5/79 =4 *�'it COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive — Oroville, California 95965 A . Telephone: 534-4541 APPLICATION AND PERMIT Owner Mailing Address Contractor Mailing Address Building Address) ZC> Puc-,4 p— Ion / - �q;, 7 - opo _ BUILDING SQ.. FT. OCC. BUILDING VALUATI Fireplace Telephone No. Total Valuation Permit Fee UAJ(T �� Lo 7- -c) y +Y, / A. P. No. Cf Zonin 1 Planning FJo<cJA✓C. Sa ire Dept. Fire Zone Use Permit EOA Parking Parcel Parcel 60' R/W Improvements Plans Declaration P p ovements Bldg. Plans Recd Parcel A roval Plans Approval NEW D§ ADDITION ❑ UTILITIES ❑ OTHER ❑ Single Family XS Duplex ❑ Mobil Home ❑ Others ❑ 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: 1 License No. Classification RlaaL,hecking or Penalty bu''A= BAL@1 a Permit Fee ELECTRICAL No. @ PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 100V OR LESS 100 AMP OR LESS Each Trap 260 1Z.6C Repair drainage or vent piping 1.50 Water piping -Z40 Z,00 Each gas water heater or vent -1,90 t -a o Gas piping system 1 - 5 outlets a•80 Z.oa Each additional outlet .30 NEWCONSTR WON .REsID. Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee' bu''A= BAL@1 $ l --� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.06 Main service 100V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Main servlce EA. AOD'L 100 AMP 1.00 NEW CONST. ( OR ADDNS. DWELLING O� Yl ACC. BLDGS i�O I 20 sq ft �idZ NEWCONSTR WON .REsID. MULTI -OUTLET BRANCH CIRCUITS) 2.50ea Ex. OCCUD(OUTLETS OR FIXTURES I bu''A= BAL@1 FIXED APPLNS. OR EX. OCCU P'(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirina 6.25 al am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 6"- X. LLDate B 4 Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Cooling Fl � 1$ X11 @ FEE $3.00 r dd Ventilation Hood 2.00 Permit Fee $ 05 $ 00 Land Development Fee $ 00 TOTAL PERMIT FEE $?� 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. DIR OR OF UBLIC WORKS �` By_At Date S '—`' Building permit expires Date �`� rtt s i� 1 I Y 1}' x i.':N I