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HomeMy WebLinkAbout065-530-037A J . b r - '�(A �,. ..�r ri' ue ..[wv ar z-�,... wr ...yr�c..b:; .•i -»..r kw �jt� .,r,,. r�.! ! „�- p , Shult [ 15281 Northlake Rd., Milia' Permit #1939-81B,P,E;M(neew� single _ ' r family) • � � � •• ,�om-„bir��>�r 11� 065 530-037,1 `x PERMIT#97-1 76 SHULT,+'14 Edi "`”` 64',11'5x?2'� 8- 1t. No 'Norjl.t.phlak�e:, tya 4• Mfroag �`j.Xont {Crawford ,aRoof ing 'C: ao+yl-j� • al ' �jL�/�J ,kReroof/SF S> a^£�.� �: ` � .. -Y _ a ♦ it r v _ ••� , r � aY�;. f 41 t .f 1 i � t e �{ 1 t a x065 530='037 �. PERMIT #97 1'3`76'x' Y i rSHULT. -+Ed 3, -, 15281 Northlake` Rd? ,' Ma gal Cont. ,. . ,.g x %Crawf6rd;Roofing Co �3 ` Reroof/SF / "t ti, 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 . i l 86l N - Nn r � '"� Aa 40 -Wo ill � �' < �. ; i i i nr if' {� � n� � �rNJT��I �N(�lYAzf#Vr�F�Y�11t i��i1�� r fid r in n� �I � i '. � t �' .,� '� i r �; t+� �, i �. � r� ��?��������.�v���[�f_��1fr��i��f��i�����f���������.���►rrtE���r�rrr�����r�►�,�����r��r�w���ratt��������,���r����,r,��w�a�,�„y�,�,�,r.�y..���w,...,:� ,_�.: �'' � ,t i' ;; � �, ..-4ki. �_..,���".. � 'i a i i .; i i l k' i � I i +w a t 1 r d4 I i �h f J L 4 •` ,.i a'Wf l' xrYn'.P u (a o � r Mt ., tttu� i�• _ r � r ,. 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