HomeMy WebLinkAbout065-530-037A J
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Shult [
15281 Northlake Rd., Milia'
Permit #1939-81B,P,E;M(neew� single _
' r family)
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11� 065 530-037,1 `x PERMIT#97-1 76
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t a x065 530='037 �. PERMIT #97 1'3`76'x' Y
i rSHULT. -+Ed 3,
-, 15281 Northlake` Rd? ,' Ma
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Cont. ,. . ,.g x
%Crawf6rd;Roofing Co �3
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COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, ealifornja 95965 - Telephone (916) 538-751 PERMIT o.
(Rev. 12/96) APPLICATION AND PERMIT 0 , % 7
ASSESSOR PARCEL NUMBER 3`7
ZONING
BUILbINGPERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S NG ADDRESS
�7sLA A. ?1146 AJJ4
CONTRACTOR'S NAMMEA♦ �y /^`/ ^�. TELEPHONE}
CONTRACTOR'S MAILING ADDRESS -7
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ Q
ARCHITECT OR ENGINEER
LICENSE NO.
—FilingFee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS /"3Z91 I F
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS ION5 NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SFS Duplex ❑ Mobilehome ❑ Other
__11 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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 1..
Describe Work: A-- zwr- 4/0 S¢
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
e00V OR LESS
Main Service Zoo. GR 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 irl full force and effect. y, �„/
License Class 1.) LIC. NO. C`�
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 ( 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. O
OR ADONS. ( a ACC. BLOS. 3.5QSsT:
=aEs o.T. MULTI.OUTLET 97,50
POWER APPARATUS
a SINGLE OUTLET CIR.
Ex. OCCU . OUTLET OR FIXTURES B20 @ 1 000
Ex. Occup. oUTiLEET g='.oe.. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
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 pe it is issued.
My workers' compe atib insurafice(�arrier and policy number a :
Carrier �( �, I
Policy Number — 01,4 1 (tom f 172
(The above sections need n6t be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith 5omply with those provisions.
Date j
Signature" of Applicant - ❑ Owner ❑ Contractor ❑ Agent'
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
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
FLOOD
CDF
PARCEL po
HD
G
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 Datee�, (/
PERMIT EXPIRES ON
Def,
Receipt No. ZZl/10 5
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING /DIION
7 County Center Drive - Oroville, California 36965 -Telephone (916) 538-t� P IIIT�o.
(Rev. 12/96) APPLICATION AND PERMIT /�5 ���J
ASSESSOR PARCEL NUMBER 3-7
ZONING
BUI ING PERMIT
OWNER
45-0 Ga j� „��
TELEPHONE
�- � ®6
SO. FT. OCC. BUILDING VALUATION
OWNER e..1 ESSJi',L® -
CONTRACTOR'S NAME TELEPHONE
^^'�
CONTRACTOR'S MAID ADDRESS /wA�
" (U eAFAW
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ 0 -G
•......
ARCHITECT OR ENGINEER
LICENSE NO.
Film Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS /SZO d -T
Energy Plan Checking Fee
$
-�
$
PERMIT FEE
t -7 ✓ -
LOT NO.
•
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF43� 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 ❑ Other 4-
Describe Work: /�el/—g, 44137-- _4-40P S{�,
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
OR LESS
Main Service 80.A
200A 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 iq full force and effect. y� ;-�
C'� -C
License Class Lic. No. /
OW R -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.
❑ 1, 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 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. BLDS.
SO
3.50FT.
=REo•SIDT MULc CUTLET
97,50
POWER APPARATUS
8 SINGLE OIJTLET CIR.
Ex. Occup. OUTLET OR FD(TUPEs
20 @ 1.00
BAL @ .so
Ex. Occup.OUTELETS RE�SIDOFRa
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compe on 'nsu ce carrier and policy number are:
Carrier_
Policy Number I 1
(The above sections need not be completed if the permit ig for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith gomply with those pr visions.
7
Date /
gfl of Appl ant - ❑ caner ❑Contractor O Agen
n OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ -7
HAZ.
D. FEES
IMP
FLOOD
CDF
PARCEL
PD
H D
IS
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
,
Dat7���
Data
Receipt No. ki s
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
I
ot
P'n � �
a°
CX
Im
4
f•
PERMIT NO. 1939-81B,P,E,M
PERMIT EXPIRES
OWNER E. H. Shult
CONTR. owner
ASSESSOR PARCEL 58-48-37
LOCATION 15281 Northlake Rd., Magalia
t
Temp. Power Pole a
Called PG&E
Temp. Elec. Service Z� f
Called PG&E�,��%-�� ��f/� lyiT/1 /l U
Temp. Gas Service—'
Called PG&E
JOB FINALED (Dat
Signature
RESIDENTIAL
ENERGY CONSERVATION. -STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT North Shore Rd., Magaliw
(location) \�
BUILDING PERMIT NO. A.P. NO
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if no C applicable)- -�
INSULATION:
Slab Edge .
Fdn. Walls
Floors . Rll
Walls R13
Ceiling/Roof R30
Ducts V•. -
Circulating Pipesy"
APPROVED HEATER
APPROVED WATER HEATER
GLAZING:
Single Glazed
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS. L Dam/,Ge �A»+
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS
INTERMITTENT IGNITION DEVICES
CERT. APPPLIANCES ;✓-
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.•
Insulation Applicator Name NICHOLSON LNSULATION INC.
(please print)
Signature of .
Insulation Applicator
` State Contractors
License No. 398551
General Contractor/Owner Name ��� W u L ?-
(please print)
Signature of
General Contractor/Owner Date cj
State Contractors
License No.
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
r
• ri
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT North Shore Rd., Magaliw
(location) \�
BUILDING PERMIT NO. A.P. NO
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if no C applicable)- -�
INSULATION:
Slab Edge .
Fdn. Walls
Floors . Rll
Walls R13
Ceiling/Roof R30
Ducts V•. -
Circulating Pipesy"
APPROVED HEATER
APPROVED WATER HEATER
GLAZING:
Single Glazed
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS. L Dam/,Ge �A»+
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS
INTERMITTENT IGNITION DEVICES
CERT. APPPLIANCES ;✓-
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.•
Insulation Applicator Name NICHOLSON LNSULATION INC.
(please print)
Signature of .
Insulation Applicator
` State Contractors
License No. 398551
General Contractor/Owner Name ��� W u L ?-
(please print)
Signature of
General Contractor/Owner Date cj
State Contractors
License No.
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
J OK.
O = Not OK J
= Not Applicable MOBILEHOMES MISCELLANEOUS
* = Not Ready
t
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except It's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ P'L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elea
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
_
Date Card -BI Date
POOLS (Plans) OK except tt's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances-
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Elec.; Receptacles and Lighting; Distances-GFI
5, Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed -
7. Water and Sewer Connected -C/O to Grade -HD Approval-•
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy - -
9. Health Department Approval
-
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
t
-r.
= OK
= Not OK
= Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
Date
UND RFLOOR Plans OK except #'s
Date FRAMING
Continued
ning requirements -Setbacks- ements
P perry Line Firewall &Openings
Ftg., Main; Soils -Steel -15. Grnd.- / /" Ftg. Depth
4
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
S emwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
VS�ymwal Garage; Steel -BI ckouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers- ire a Ft .- el
54.
Glazing Area -Glass Protection -Skylights -Plastic
8. .: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10. Walj Pipe; T An s-Regulator-Sen(,�Test
11. E ric; Underground
12. Plehcf6s & Ducts; Clearance-MatexiaJ-6upport-Ins.
13. Gir -Sills-Ancggr- tts-Joists-VerNs!Cripples
(M W lel S G W a (o
Card -BI tj j
Card -BI
Date I IS, L -We Card -BI Date
Date Card -BI Date
V
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date FINAL (Plans) OK except #'s
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except #'s
56.
�Eyt. Steps -Door & Sidelight Protection -Landings
.
Smoke Detector
_
$4 -Water Ht.; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Water Pipe; Test & Anchors -Nail Protection
i D.W.V.Z T -Fttngs & Anchors -Nail Protection
_ J39��edroom Exiting
17. Shevolir Pan; Test, First Floor -Tub Access
67
G.F.I. & Bath Fixtures & Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19. Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fi(gplaire earances-Hearth
lec. Outlets at Wood Panel; Int. & Ext.
Card -BI
C. Date1 Card -BI Date
it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELECTRICALPermit OK except #'s
6@--Elec.
Outlets & Receptacles at Kit. Counter
Garage Fire Door; Swing -Landing -Closer
A.C. Duct in Garage -Damper
Fixture & Transformer Clearance -Ins. Protection
r. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Abo Floor-Mech. Protection
Elec. Receptacles Spacing -Lights &Switches at Doors
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec.
Qft equip. Listed for Location
Romex Installed Close to Edge of Studs & C.J.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
14!Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
72 -Insulation -Foam -Looked in Attic des
A&--2-Appliance Circuits in Kitchen & Conductor Size
,-�9---Roard
Rails &Deck Construction -Post Caps
-
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents & Crawl Hole or -Drainage & Wood -Earth Clearance
Looked under Floor Yes
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
I Neutral ❑Yes ❑No
75,
Followinginstld.: Drive Yes ❑ L -No;
❑ Walks Yes
Planters ❑Yeso
M.rvned
Service -Riser Conductors & Ground -Main Disconnect
co; Brown -Finish
Equip. Clearances; Panels-Motors-Mech. Equip.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
3 Clothes Closet Light -Shower Light
.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
Ige-Water
well; Disconnect, Electrical, Plumbing
Card B-1 L Date (,Q77) Card -BI Date
Card B -I Date Card -BI Date
Exterior Elec. Trim; G.F.I. Receptacle -Underground
4
yentijeion throughou ouse
I Pr n
Date
MECHANICAL (Permit) OK except #'s
31. A.C. Ducts; Insulation & Support
ctions from Previous Inspections
as Test -Meters Tagged; Gas -Electric
Water & Sewer Connected -C/O to Grade -HD Approval
32. Vent Fan; Exhaust above Insulation
Energy Compliance Certificate -Other Certificates
_ ___33.
Condensate Drain & Overflow; Size & Grade
-Attic
Card -BI
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
Access & Platform it Furnace in Attic
_ _ Date Card -BI Date
Card -BI
Card-BI';2,/Date
Card -BI
Date Card -BI Date
and -BI Date
ate and -BI Date
_-_
Card -BI Date Card -BI Date
Date
FRA NG(Plans) OK except #'s
Comments at Final:
ills; Proper Material & Anchors
7. Iyalls; Studs -Nailing, Spacing & Bracing -Plates -Sound
_
*__aring Walls over Girders & Floor Nailing
. Draft Stop in Walls (rat proof)
Fire Stops; Furred eilin s -Stairs -Chases -T
4 . Header & Bea Ize & Bearing_
Hanger -P t Caps-Anchors-Connec _
43. CIng. ist-Rftr. i -Purlin- oof r -Truss-Shthng.-Ring.
44. Fireplace Ties or Type A Flue -Fir a Throat
-
_-r3�m.
4 Attic Access; Size & Rom_ex Protection -Draft Stop -Ins. Baffles
Windows or Exiting Doors -Sill Hgt. & Dimensions
4VGarage Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
4'COUNTY OF BJTE - DEPARTMENT OF PUBLIC WORKS ERMI NO.
• 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARC "M
CET
ZM8
BUILDING PERMIT
OWNER. �' S `'ULT%�
TT,E,L�3�oj��O�
Y�7"
SO. FT. OCC. BUILDING VALUATION
OWN�EGR'S MAILING AD//-/' $S �/ (� ����� p•- �/1 ,��/ �/J
I ,4T��i/ 6/•SFV-• '/'f(//L,
Z A4
6-270-00
4TTI�2;5,
' N AAL,MJ/��At// AjC�
T E L EryP ONES••�
J ..0 0
% �
777 • V
1. 00
CONTRACTOR'S MAILING ADDRESS
Fireplace / 4' / 114/45-
9600-00
CONSTRUCTION LENUNKNOWN
Valuation $
-Total r V 0
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 2 Zt . v o
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$ —
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUIL ADDE2fs55
PLUMBING PERMIT
Filing Fee 10.00
`��/�/V//V//c��,,.��//��. =1V Fav4 44W,96;
Each Trap
9 2.00 /$,6)6>
pair drainage or vent piping
5.00
152 NO,e7Hll �D
Water piping
O 0
LOT NO. SUBDIVISION NAME PARCEL MAP
/?- _S- j
Each qas water heater or vent
1 5,00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
0Z)
Lawn sprinkler system-
5.00 •.
TYPE OF WORK
New Ep Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$ QD
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
00
5. . 0 0
Main service EA. ADD'L 100 AMP
2,50 2„5-0
NEW CONST. DWELLIBNG - LLF,.�1
OR ADDNS, ACC.
20sgft _ v
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$
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)
L✓ I, as therpwner, am exclusively contracting with licensed contract-
ors. (Sec. 7(Y44)
0 I am exempt under Sec. Business and Professions Code
for this reason
NEW CONSTR TI -OUTLET 2.50 ea
NON-RESID BRANCH CIRC ITS
NEW CONST R. POWER APPARATUS 6
D, (SINGLE OUTLET CIR. J
NON -RESI(
EX. OCCUp OUTLETS OR FIXTURES BAL�1
IxED APP LNS. OR
Ex. Occup.(ouT LETS (RESID.) EA. 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):
/I❑ 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 0 00
Oa
14c4T eoXt $0
Cooling 37
.0 C7
Hood
3.00 .3.00
Ventilation
Permit Fee
3 23_10 0
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 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
against said County in consequence of the granting of this per it.Q� p
X Date -Z_ O�
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 $
OCCUP. CROUP
47_7
bb��
TYP aF C NST.
-���
PARCEL PD
D
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRER OF BLIC
FQ
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 49
Receipt No. 5099
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTF BUTTE - DEPARTMENT'OF PUBLIC WORKS - BUILDING DIVISION
7•t"OUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER %I S N V &T , A. P. No. Jig— VY -37
Proposed Building Use s/ F /
Permit Fee Based Upon: Complete Contract Pricey DPW Valuation
Other (Explain)
Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate./triplicate. . .• • ' . . .
3. Complete plans in duplicate. /triplicate. . . k. . . . . .
4. Complete engineered plans and calcs. . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . ...
�'9. Letter of signature authorization. . . . . . . . . .
10. Sanitation approval from Health Dept.
11. Planning approval for (A) Utse: (B) Parking: .
12. Certificate of Workmen's Compensation Insurance. . . . . .
1,3;. Contractor's License Information (no., name style classif.)
14. Owner -Builder Verification (Given to owner ,Mail to owner[:]*)
15. Improvements may be required. . . . . . . . . .
16: Mobilehome Installation D ta.
/� •Pre-Inspec. request to 5—�/�// S (D e
N/17. Pre -Inspection for Required. Building Inspector )
18. Other.;
When you issue Ygnit, process as follows: Mail to owner. Mail to contractor.�' Telephon`')G67 and hol for pickup at ) office. Deliver w/inspector.
Other
Applicant��/''0 5r ate
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at ti a I'ca io circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By Date
Plans checked by Date
Plans approved by B J/`— Date A
Other:
Copy—DPW
;To: Building Department
From: Environmental Health
Subject: Sanitation Clearance
,S /--)� L 7 -
Owner Owner
Plans approved for:
Location
Sewage Disposal.y
Hold final for:
Final Clearance O.K. for:
Clearance for '-2—bedroom mobil hom .
Clearance for addition of
Note**
S nita Ian
Other
AP#
Water Supply"
Water Supply
Water Supply_
Date
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA. 95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
5s-119-37-
€. hl , S vC,
�.fZ$ J ?rorTiT Lak�,�
Phone: 916-534-4541
An "owner -builder" building permit has been applied for in your name and 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)y
2. I (have/have not) G�� 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'tliis work, but I have hired the following
person to coordinate, supervise, 'and provide the major work:
Name
Address City
Phone Contractors License No.
5.1 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 AONP_ use
Signed: °"moo' co x113 -390 x- j nS LLai,
Property Owner e.f',�clr��'
Social Security number
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831
and 19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are
permitted to issue the permit.
HOURLY AND ANNUAL
BUILDING HEAT LOSS RATE
SNIT 2z, �,( rx;,-r
),ner
plolect
system type -
documentation author date
HOU R LY H EAT- LOSS
DESIGN TEMPERATURE DIFFERENCE p�
For All Conditions Other Than the Following. 706F — V of = &T;
Tow from Form t
For Insulated Floor Over Vented Unheated Space- • . - - - - - , Line I—' 2 :. = 4,T,•,r2
For Uninsulated Floor Over Vented Unheated Space..... Line 2 — 5oF-.. = ATW3
CONDUCTIVE HEAT LOSS
Forms 2
CheCked by
date
3
0 I
INFLITRATION (Enter 0 'on Line 5 if there is positive ventilation)
U from Forme
Area, ft2 or. 1. or Ftfrom-
Framing
Factor from
AT„v
from
Oescription of Assembly.-
Length, it Table 4-1
Table 3-6•
z
-abover-
42
&TW from
Glazing
X •
x
7-!2 44 Btu/ha'
Line 1
VENTILATION" (Enter 0 on Line 6 if there is no positive ventilation)
Walt-
" e Z �X 10h�.
/'15
x `'
l—ot 4 a..• �8�
of x 1.08 = ...
. X--
X
X
Calculations
- X
X-
x'
.
Ceiling/Roof-
' x �. G,
�i0 7,1") x
x
x. �1
x
x�% 2_r
,
!37.'2,
x
.x
X
Floor
�i7%c}i x Obx 1,03
X ' 2 �.
_ IN O Q._„
3 ?6V 6
, �✓
3 / �a �•
s Or, 1 OTAL
Other-
x.
x'
x'
ANNUAL HEAT LOSS.
OF•
day/vr x Btu/hr x
x 24 hr/day
X_
x•
X
F �
C from
-
..
"
Y.• .
• V
Subtotal 4 Stu/hr
INFLITRATION (Enter 0 'on Line 5 if there is positive ventilation)
ft2 ft
Ole)
f 2 OF:
Gross Floor Areas
x _CL— x
Weighted,.
x.
I from Table3-7
&TW from
5
Average
Ceiling Height.
Line 1
VENTILATION" (Enter 0 on Line 6 if there is no positive ventilation)
Ventilation Rate from
ft3imin x
GT,,,r from Line 1
of x 1.08 = ...
............
6
i
Calculations
Subtotal
7
.8 uihr
DUCT HEAT LOSS (Enter 0 on Line 8 it there are no ducts)
�( z
0.15
x Line T =
8
�
3 ?6V 6
, �✓
3 / �a �•
s Or, 1 OTAL
(Line 7+8) qh '
9
— Btu/hr
ANNUAL HEAT LOSS.
OF•
day/vr x Btu/hr x
x 24 hr/day
HOD from Appendix C
Hourly Heat Loss
C from
from Line 9
Table 3.8
= Or,
10
— Btu.'vr
i
HOURLY AND ANNUAL
BUILDING HEAT LOSS RATE
Form 2•
or oject Checked by
Fro
System type date
documentation author date
HOURLY HEAT LOSS -
DESIGN TEMPERATURE DIFFERENCE-
For
IFFERENCE �J /fin
For All Conditions Other Than the Following 70OF — G r of = 461-Wl 1 4 G OF
Tow from Form 1
For Insulated Floor Over Vented Unheated Space. , , , , , .. , Line 1 - 2. . = 4T;r„ 2 2 / OF:
For Uninsulated Floor Over Vented Unheated Space .... . Line 2 — 5°F'.. = pT ,3- 3.
OF
CONDUCTIVE HEAT LOSS,
U from Forme
Framing ATW-
Area, ft2 or,
1, or Ftfrom
Factor from from,
Description of Assembly
Length, ft'
Table 4-1
Table 3-6 above -
Glazing.
380
X , (s x
x 4 2
_ Btu/hr
3105
x (co C2 x
X. 2
Wall IJTy-\s,
l:�i¢3
x r 0% x
% x
x
x X
x
Ceiling/Roof L>j R -fin
G7 6
x x
x
7y.
x .031'11-113'
.X.
Floor W� x-11
X X
x 04,% pp,a�x .pp Q¢3yy;
..
-2t
Q
f'%%V '
(r
X X h.3iii
—
Other"
XX
.
X X
'111V XItTa1�
% X
x.
=
Subtotal
4 - 2 01 C) Btu/hr
M Lm IQ
INFLITRATION E 0 L• 5 'f n 't' -I 1
-
I - 1 nter on Ine - i t ere Is pose ve veno atlon �1
I%7 fJ ft2 x ft x ' Dlf� � x G OF= 5
Gross Floor Area- Weighted I fromTable3-7 ATw from
Average
Ceiling Height Lina 1.
VENTILATION (Enter 0 on Line 6 if there is no positive ventilation)
ft3/min x of x 1.08 = ... .. .... .... 6
Ventilation Rate from &Tw from Line 1
Calculations 1 �,
Subtotal 7 _�— ._ 8tuihr
DUCT HEAT LOSS (Enter. 0. on Line 8 if there are no ducts) J�
0.15 x .Line 7 = 8 4Q 4
TOTAL (Line 7+8) 4h 9 —Stu/hr(a�,
ANNUAL HEAT LOSS-
'F-day/yr x Btu/hr x x 24 hr/day
HOD from Appendix C Hourly Heat LOSS C from
from Line 9 Table 3.8
Lri t0 – — Btu'',r
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