HomeMy WebLinkAbout066-250-023^Jim Roserm jtrfamily)066-250-023 Q� 01-0509
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 13597 PARK DR
Owner:
Permit No: B07-2366
APN: 066-250-023
SIMONE,
DANIEL
Issued Date: 11/20/2007 By KCG
Permit type: MISCELLANEOUS
20 NAPA AVE
Subtype: HVAC Change Out
FAIRFAX, CA 95930
Expiration Date: 11/19/2008
Description: REPLACE HVAC PACKAGE UNIT
(530) 873-8065
Occupancy: Zoning: RT1
Contractor
Applicant:
Square Footage:
DEER CREEK HEATING & AIR
DEER
CREEK HEATING & A]
Building Garage Remdl/Addn
PO BOX 171
PO BOX 171
VINA, CA 96092
VINA,
CA 96092
(530) 839-2545
(530) 839-2545
Other Porch/Patio Total
FEE INFORMATION
DBM Heat Pump (Package Unit) $58.00
Total Charged: $58.00 Fees Paid: $58.00
Balance Due: $0.00 Receipt No: B5364
• LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) ' State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
DEER CREEK HEATING & AIR 865703 / C10 / 10/31/2007
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
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
pursuant to the provisions of the Contractofs License Law [Chapter 9 (commencing with Section 7000)
is in full ect.
of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the
y
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil of not more than five hundred dollars
A 11/20/2007
penalty [$500];
Please check one of the following:
Ontr t Signa re , Date
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 (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
I AVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
action 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Carrier: State Fund Policy Number: 1838947 Exp. Date:10/01/
Contractor's License Law.).
(This section need not be completed if the permit is or one hundred dollars ($100) orless.)
❑ I AM EXEMPT under Section B. & P.C. for this reason:
❑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 Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
X 11/20/2007
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owners Signature Date
provisions.
'X 20/2007
I hereby certify that I have read this application and slate that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
gnatur pa
WARWICG: FAILURE TO SEC RE ORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
HUNDRED THOUSAND DOL ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FO INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
owner r auth o act on the property owner's behalf.
CONSTRUCTION LENDING AGENCY
w, d Y 20/2007
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agenc r
N e IGN] Print, , Date
the performance of the work for which this permit is issued. (3097 civ. code)
rt
Owner 4 Contractor OR. Agent for Owner Agent for Contractor
FILE COPY
Lender's Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OF APPLICA TION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
APPLICANT INFORMATION
OWNER INFORMATION
Last Name
Name
FiV me
U
Mailing Address
1392
City
/I
State Zi E
Phone
Fax
E-mail
Phone
APPLICANT INFORMATION
ARCHITECT/ENGINEER
CONTRACTOR
Name
D
Zip
Address
Fax .
State
City U
Phone
State
Ziy
Phone
State License Number
Zs�
Fax 2�
E-mail
ie
w1 -K IA
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax .
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax .
E-mail
APPLI ANT NA
IVA
PERMIT
NO.
BIN #
PROJECT LOCATION
API 0 cn n 0 ., 7_" �
Property Address
3 -7
SRA
City
I No
J
WORKER'S COMPENSATION
Policy Number `, rV ` a
Carrier J/v/ a�
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
61-OLALb Ov
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
Flood Zone
SRA
I Yes
I No
Occ.
Type Const.
066-250-023
066-250-023
01-0509
1 -0509
66 5 23,
01 0509
C �ILLE -
K DR MAGALIA 959
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LAURENCE, LUCILLE'
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13597 WEST PARK DR., MAGALIA 959
CO T - KE
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CONTR:KEN 'ANTON
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DAYRO _ '
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
C �0_;�GO_OZ3
ZONING
1� r=l
BUILDING PERMIT
OWNER
TELEPHONE
FT. OCC. BUILDING VALUATION
i jSO.
J�
�j
.OWNERS MAID �R�S� �„\J
CONTRACTF NAME(V//v►J111•Ai�TO �
Ad
4TELEPHONE
CONTRACTORS MAILING (, -LraG
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuatlon
ARCHITECT OR ENGINEER
LICENSE NO.
Film Fee r $ 20.00
Permit Fee $ • UD
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS 1359-4 r, I^ w .�. ' � •/`ti r
1`✓j""'}+�x ,�L�1
Energy Plan Checking Fee $
no (i Ct.Y�I
PERMIT FEE $ 1 () j)()
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 1 20.00
USEOFSTRUCTURE
SFS Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 1 7.00
Solar or heat pump water h ater 23.00
Water piping 15.00
Each gas water heater o(I'vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑Other [3
Describe (Work:: ("L C/i (1 /til /k ,.)d1'1
12 eA �%�M v -,t
Gas piping system 1 - Voutlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE $
� I
ELECTRICAL PERMIT Fling Fee 20.00
'OOVOR UE
Main Service ZDDA 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 in full force and effect. ^� l ^�
License Class [ 1 Lic. No. / `f � 1�
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'
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
ofAone hundred dollars ($100) or less.)
91001�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 _l ' 1. / Date
Signature of Applicant - ❑ Owner d Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUR SO
OR ADONS. ( & ACC. BLDS. 3.5¢FT,
1NdOONN•RESD RANCH MULTI.OUTLET @7.50
PowEa APPARgTUS
a oVTIET cIR.
OUTLET 20 p 1.00
Ex. Occup. ouTLEroR RES BAL @ .w
FIX
Ex. Occup. ES10.OEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEP $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
&AJ- TOTAL FEE $ B O
HAZ.
D. ES MP
FLOOD
CDF
pARC0. PD
HD
ISSUE
This permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicate 'above for which fees have been paid.
By ew. _ F' �llb� Date 3
PERMIT EXPIRES ON 3 'G Z
Date
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
J..: -'` � T--...�--- -•'�-. -.^.. . �- ..` ..r -Y-. .�.._ . � �.--.w..�+.c .. w -r+ n. ay.r� _ � .^ .....`t mow.... � ...-.r"�-'�y+..�--v+�r .^ ��-�--v---•r��^
I s
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT D,S�
�J
ASSESSOR PARCEL NUMB
f� 0_0 5d -D23
ZONI
-
BUILDING PERMIT
OWNER .
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS IU D SS601000.0o
CONTRA NAME
0 111-i
ELEPHONE
CONTRACTbRS MAILING DRESS2,
L� 12,
.'
CONSTRUCTION LENDD,.,
�
�l 5 lX
Flre IaCe
LENDER'S MAILING AD RESS
Total Valuation $ Q 0. too
ARCHITECT OR ENGINEER
LICENSE NO.
—Fling Fee $ 20.00
Permit Fee $ '81-00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS T r.,
Energy Plan Checking Fee $
a
PERMIT FEE $ J ffl,
LOT NO.
SUBDN610NS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF)( Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water h ater 23.00
Water piping 15.00
Each gas water heater of vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: 1R&V0A;L QM.44 AJSd On
%fiC--6CLt
Gas piping system 1 - outlets 15.00
Building sewer f 15.00
Mobile Home I S G W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
VLESS
Main Service 200A OR LESS 23.00
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 f II force and effect./
License Class Lic. No. :)&? `r 2_3
OWNER -BUILDER DtCLARATION
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
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 workgrs'
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 obove sections need not be completed if the permit is for work of a valuation
ne 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
fort ith omply iththvisions.
X mate
Sign re o pplicant - ❑ Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service To 46.00
200ALICENSED
WEE
NEW coNsr. DWEwNG oCCUcuP. 3.52F°:
( ACC.
ORw
u�DDS.
corgi . M
NON-RES,D. 97.50
POWER APP Us
8 SINGLE O cIR.
EX. Occup. OunET OR R&TURES BAL I.w
Ex. Occup. DMO s �Io,LNSDEA 5.00
Temporary Service 23.00
Mobile Horpe Faciliti s 20.00
Misc. Wiring 23.00
• --
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEIE $
Mobile Home Installation Fee $
Energy Inspection Fee $
/Z c3
CONST. TYPE TO AL FEE $ , (� 0
HAZ
D MP
I FLOOD
I CDF
PARCEL Pp HD
sS E
This permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicate above for which fees have been paid.
By �DDate
PERMIT EXPIRES ON 3^1 / "oZ
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT(Date)
4& TEG% PERMIT N0.
/ &li, d f
f7-4 A/ f9 rZ LIAliE j2- f Vcl ID� PERMIT ERXPIRES
/e-�—�®(� ` / _ Jim o s e
fG— �o)CCJ L(rL0' OWNER
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-CONTR.
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6625-79B,P)E,M
owner
66-25-23
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N. 1025 So.Pak Dr., lot 92, PPCC#4, Magalia
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Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED_
(Date)
(Signature)
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS OIC C
BUILDING INSPECTION RECORD
E£s a�g onJ
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
firewall �Ls���J
Soil Piping
Forms
+F Para ets
1 S F loo,
Main Bldg.
stroom Finish
26d Floor
Footings
ndo
3rd Floor
StemwaI I
Siding S^ O A
To out
Slab
'Roof Sheathing — % _ fz) ®
Water PI in A 0-7
Piers
Roofing S— -- -b
Sewer
Garage
Fdn. Vents'fixtures
®
Footings
Stemwallnsulatlon
'Garage Vents, . s^-
p 4Q
ater H --2z) ® - -
Heaters
Slab f rj ._r
Carport
Footings
a _. Prov. for physically '
handica ed
Conformance of ex.
structure
A liances
Gas Pi in & Test
Temp. Gas
Slab
—Prn-10
anita i
Patio ,'l
FIREPLACE
Final �7 a
tot Footings
- FootingG -
ELECTRICAL
Masonry Walls
r Throatr c S
Rou h —moo
Reinf. Steel
Final O Q
/
1x ure 6'
Bond Beam
FIRE SPRINKLERS'
I Motors
'lapilliM i est cwater m — -
Stucco Final 4
Mesh ' '' MECHANICAU Grd. Fault Prot.&2—A2
u Scratch Heating Service
Brown Cooling ® Temp. Pole
Finish Ducts Underground i
Interior Lath- Ventilation Permanent O 10
Door Closer Final p itlinal — Z S%80 4W
-
MOBILEHOME UTILITIES -------•---------- Elec_ Service Elec. Pedestal -
Water Piping Sewer Gas Piping
i OBILEHOME INSTALLATION .............. Support Elec. Continuity
!( Water Piping Drainage Gas Piping
�
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DATE --REMARKS OR CORRECTIONS
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(NOTE: An entry must be made on this form each time you visit the job site.)
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RES IDENT IAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
H1 C
(location)
BUILDING PERMIT NO. ?f
A;P. NO. 66-,1s _ bZ3
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Chls..each item or write N/A if not applicable)
INSULATION:
Slab Edge. f
Fdn. Walls
Floors ✓
Walls
Ceiling/Roof,.
Ducts
Circulating Pipe
APPROVED HEATER
.APPROVED WTR.HTR. ✓
GLAZ ING :,� GA��
A�
Single Glazed w `iUAC, 6
Special (Insulated) Sr-Gi6 'TS
CERT. & LABELED WDS. /
& SLIDING DRS. �/
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS
INTERMITTENT IGNITION DEVICES !✓�
CERT. APPLIANCES
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 �NJW,)s IIJSUL�'1�oiJ
Signature of (please print)
Insulation Applicator'
State Contractors
License No. 379-go:2
General Contractor/Owner Name U A4 a5E--
Signature of
(�t ase print)
General Contractor/Owner Date G' Z S &-D
State Contractors
License No. 3 m,
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.
M E C H A N I C A L
Check List
❑ Permit
® Underfloor Sta e
❑ 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.
Final '
❑ 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.
' 5/79
1 t
❑ Permit
P L U M B I N G
Check List
❑ Underfloor Stage
❑ D.W.V.: (1) Sizing. (2) Materials. (3) Fittings. (4) Grade & Support.
(5) Cleanouts & Accessibility. (6) Clearances. (7) Rough -in Locations.
❑* (8) Wrapping. (9) Test - including "Ts". (10) Additional test not
required.*
❑ Water: (1) Sizing. (2) Materials. (3) Support. (4) Test. (5) Wrapping.
❑* (6) Dissimilar metals. (7) .Service regulator installed or not required.*
❑ Gas: (1) Sizing. (2.) Materials'. (3) Support. (4) Log Lighter. '(.5) Wrapping.
❑ 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) :fixer Valves. (3) Support. (4) Roof drains.
❑ Gas: (1) Size. (2) Materials. (3) PR Valve Drain.
❑ Water Heater: (1) Vent. (2).Location. (3) PR 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) Test. (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
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
i 7 County Center Drive Oroville, California 95965
' • Telephone: 534-4541
APPLICATION AND PERMIT p�
authorize representat' es of the County of Butte to enter upon the
above-mentioned pro ert for inspection purposes.
X Date 0 -2b -
Si :Jure of Permitee or Agent
Receipt No. :3 0 J O J
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
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.
DIREC R OF PUBLIC WORKS
BY9z — Date J%- Z- -2 s
uilding permit expires Date �f- �-
BUILDING
�^
Owner
SQ. FT. OCC. BUILDIN VALUATION
O. C9
Mailing Address 7 "� tv ��
_
Telephone No.
Iv CMvieo
Cy
Contractor
Mailing Address
Fireplace d ®tea ®®
Total Valuation �j
Telephone No.
Permit Fee Q � cs
Building Address 15;70�
Plan Checking Fee&/or Penalty
Permit Fee , L`yp
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 oD
Each TraD 1.50
GG#L% G-C9j p? ,*"±
Repair drainage or vent piping 1.50
A. P. No. —'pZ S' — Z ins & PI
Water piping 1.50
•
Each gas water heater or vent 1.50
F,. s
SaFire Dept.
Fire Zone Use Pe it
Gas piping system 1 -5 outlets 1.50
EQA
Parking I Parcel
Plans Declaration
Parcel Ma
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. Plan ec'd
Parcel Aporovcl.
Plonsig4roval
Lawn sprinkler system 2.00
NEW J0 ADDITION ❑ UTILITIES E]OTHER ❑
permit Fee $
$
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE J$3.00
Main service 600v OR LESS
100 AMP OR LESS 5•Q�
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 100 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONS
OR ADDNST. D S ( I CUP 20 sq ft
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
U T .OU LET
NEW RESID. MULTI-0U
CONSTCONTRACTORS
NON.ESI D. BRANCH CIRCUITS) J2.50ea
NEW CONSTR (POWER APPARATUS d
NON-RESID. SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTURES) g L 1
Ex. OCCU 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
�4crc I 9.
am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$ZzI, Ig
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.
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 s to become subject to the Workmen's Compensation Laws of
Cal i forni a.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating e74:::)yyr ,gyp
Cooling
Ventilation
Hood 2.00 ,C�5c9
Permit Fee $
$
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
Land Development Fee
$
TOTAL PERMIT FEE
$
authorize representat' es of the County of Butte to enter upon the
above-mentioned pro ert for inspection purposes.
X Date 0 -2b -
Si :Jure of Permitee or Agent
Receipt No. :3 0 J O J
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
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.
DIREC R OF PUBLIC WORKS
BY9z — Date J%- Z- -2 s
uilding permit expires Date �f- �-
J
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX,• & MISC. ONLY) / / [�
'10-S yh ��jj
Bldg. Permit # t0 G /
OWNER �''( ` A� A.P. # (0(7 -ts got3
A. GE�AL A T _ ` .
/ oning requirements (sideyards and parking). j®�` 1
1.a uation.
Signature by R.C.E. or Architect (if required).
B OT LAN
-00 Wplete parcel size and dimensions.
etbai:kq, sideyards, easements, etc.
er buildings or structures.
rading, fills, drainage.
C. FLOOR PLAN
Complete to scale plan with dimensions.
equired windows for light and ventilation (Sec. 1405).
Required windows for second exit (Sec. 1404).
Allowable glazing for energy requirements (20% max. per. State law).
Human impact glass (Sec. 5406). �---�
;.:"-,Required room sizes, ceiling heights (Sec. 1407).
d G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
Locations,of water heater, heating & cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
/Garage firewall, door size, and closer (Sec. 503(d)(4)).
1�Y. - 3''0" exterior exit door (Sec. 3303d).
1Z.ireplace location.'
.1 'Smoke detectors (Sec. 1413).
D. CTURAL DETAILS
oundation plan complete enough to construct building.
'�. door construction details complete enough to construct building.'
Elevations and wall construction details complete enough to construct building.
/.Roof construction details complete enough to construct building.
Fireplace construction details and calcs if over one-story in height.
Sufficient data and details to,satisfy energy insulation requirements (State law).
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
ACX plywood on exposed locations and overhangs.
F3Guardrail
airway details (Sec. 3305).
details (Sec. 1716).
ick or stone veneer (Chapter 30).
terior plaster - weep screeds (Sec. 4706 & 4708). '
6.,r" Proper roof pitch for roof covering (Chapter 32).
KRafter ties or bearing ridge beam.
-�Garage door,or porch header sizes.
dequate bracing.
Living area over garage - complete 1 -hour separation required including supporting
walls and posts, etc. a.
Two (2) exits on three-story dwellings (Sec. 3302).
X77
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