HomeMy WebLinkAbout068-120-062-34-06--62
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
+� .. •�i 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCELNUMBER
068-120-062
ZONING
AP. - ,
BUILDING PERMIT
OWNER
01LN LONG
TELEPHONE
533-8236
SQ. FT OCC.. BUILDING VALUATION
OWNER'S MAILING ADDRESS
0 POST LANE OROVILLE 95965
1ST RE AL
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
•
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 20.00
Permit Fee @I FM $ —114.1
ARCHITECT OR ENGINEERuCENSE
NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
"
Penalty $
BUILDING ADDRESS 50 POST Unp OROVILLE
PERMIT FEE $ 134.7`
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
.,
Solar or heat pump water heater 23.00
tWaier'pipl , s«- . ,.� 6.41 ,
LOT NO. SUBDIVISION'S NAME PARCEL MAP '
Each gas water heater or vent 15.00
USE OF STRUCTURE
v
SF Cl -Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
TYPE OF WORK
fir'
New ❑ Addition ❑ Remodel El Utilities ❑ Installation O Other 1
Describe Work: 1ST R04LVAL/93-177
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service ( IV OR LESS ) 23.00
200A OR LESS
Main Service ( 200A TO 1000A ) 46.00
'
NEW CONST. DWELLING OCCUP. so
0fl ADONS. ( b ACC. BLDS. ) 3.50 FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one) "" ''`
O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
❑ 1, as the owner, 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)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
.NON-RESID. ( BRANCH CIRCUITS ) @7.50
/ POWER APPARATUS )
1 a SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.00
Ex. Occup' (OFIXED APPWS. OR
UTLETS IRESID.1 EA. ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc.'Wiring 23,00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
O This permit-is.for•5100:00. (valuation),or less ,-.-`...:--,_. .1-i,,,
❑ I have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
,j„„ ,_,_-_ MECHANICAL, PERMIT, � f� ..—
- r,Filing,Fee- ;20:OOM
Heating
Cooling
Hood 6.50
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 Butte County Ordinances and California 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 permit.
X - :�� Date % `' l
Signature of Applicant .Q wner ❑Contractor ❑ Agent
An OSHA permit is re �ir d for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
ocC
CONST. TYPETOTAL
FEES 134.7
HAZ•
I D. FEES
I IMP
I FLOOD
I CDF
PARCEL PD
HD
I Issu
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.
e� ,DIRECTOR OF PUBLIC WORKS
By Date .11 C7
PERMIT EXPIRES ON 2-1-95
/Date/
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR + GOLDENROD -APPLICANT
ww�
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 _PERMT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
068-120-062
ZONING
AR1
BUILDING PERMIT
OWNER
HN LONG
TELEPHONE
533-8236
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
50 POST LANE OROVILLE 95965
IST RENEWAL/
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee @-. FEE $
—114.
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 50 POST LANE OROVILLE
PERMIT FEE $
134.7-'
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.SUB
DIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF (1Duplex O Mobilehome ❑ Other
SPECIFY
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New ElAddition ❑ Remodel ❑ Utilities ❑ Installation ElOther C
Describe Work: 1ST RENEWAL/93-177
PERMIT FEE 8
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 800V OR LESS )
200A OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCC P.
OR ADDNS. ( 8 ACC. BLOS. )
SO.
3.50 FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
O 1 am a licensed underp provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
❑ 1, as the owner, 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)
1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ lam exempt under Sec. Business and Professions Code
forthis reason
NEW CONST, MULTI -OUTLET
NON -REBID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. @ .50
Ex. Occu FIXED APPWS. OR
p• ( OUTLETS (RESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
Q This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
XI shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
Ventilation
E650
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 Butte County Ordinances and California 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, judAe.nts, cos ,and expenses which may in any way accrue against said
Cou in a uenc the granting of this permit.
X Date 3 —
S' ature of Applicant - O ner ❑ Contractor O Agent
n OSHA permit is re ed for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
ocC
CONST. TYPE
TOTAL FEE $ 134.7
HAZ•
D. FEES
IMP
FLOOD
CDF
PARCEL PD
HD
I ISSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BY Date
PERMIT EXPIRES ON 2-1-95
(Date)
//
Recei tNo.
p i!/��y
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
RESIDENTIAL
(068-12-0-062 — 93-177BPEM -
• LONG, John.
50 Post Ln, Oroville
remodel & addition/sf
t �
JOB FINALED (Date)'
Signature
a
V OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (Single
' =
Date UNDERFLOOR (Plans) OK except k's
Zon i ng -Setbacks -Easements -Flood -Slope
Ftg., Main; Soils-Elec. Grnd.a/""tg_Depth
3. Fto.. Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped I
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Undergrou dj
OIZ3. Riaaafns & Ducts; Cleara " e -Materia -Suppor -Ins.
3 •e�.c ?14. Girders -Sills -Anchor Bolts-J�s-Vents-C s
15. Access & Ventilation
16. Insulation
Date �,/-7� Card B-1 Date 3+l/• 3Card B-1
Date a -17A3 Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except h's
ater Htr.: Vent -Access -Combustion Air -Baffle
-- - 17_Wate ipe; Test & Anchor -Nail Protection
— ---------------------------
W.V.: Test -Fittings & Anchor -Nail Protection
19. Shower Pan; Test. First Floor -Tub Access
------- ---------------------------
20. Test Tub & Shower. Second Floor -Tub Access
------------------------------------
21. Gas Pipe; Size & Anchors
Dat �—Card-8:1 Date
Date Card B-1 Date
Card B-1
Card B-1
Date ELECTRICAL (Permit) OK except h's
_ _ sformer Clearance -Ins. Protection
c. Receptacles Spacing -Lights & Switches at Doors __ ___
ize Boxes & No. of Conductors -Stapled
----------------- - --oInstalled Close t- Edge of Studs & C.J.
26. Equi . Ground made'up Mech. Fastners-Bond Gas & Water
------------ -- - - --_ ----
�ce Circuts in Kitchen & Conductor Size!GFI
------------- - -------------------------------------
u eed Wire Size ga. Cu or AI-A.C. Wire Size ! ! ga.
Cu or At
-------------------------------------- --------- ---------------------------------- ----
2U Raaae circ. ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
A!�ervice-Riser ----------------------
Ccnductors & Ground -Main Disconnect
quip. Clearances Panels-Motors-Mech. Equip.
-----------------
------------ --------------------------------------------------------------------
lothes Closet Light -Shower Light -Spa Light
--- - ------ - -- --- - -- - -----
-----------
- --- - - - --
a .Smoke Det/eec�to�rp
Date _- -� ard-B-V v --------Date------------- Card -B-1-------------
----------------------------------_-----------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except P's
34. A_C_Ducts Insulation & Support - -
----------- -----------------------------
35. Vent Fan: Exhaust above insulation
------------------------------------------------- - -----------
_ 36. Condensate Drain & Overflow: Size & Grade
--- ------ 37. Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet
-
38. Attic Access & Platform if Furnance in Attic
------------------------------ -- - --- --- --- ---------------------------------------
Date
------------------------------------
Date Card B-1 Date Card B-1
-----------------------------------------------------------`----------------------
Date Card B-1 Date Card B-1
Date FRAMI G (Plans) OK except a's
3 Sils. Proper Material & Anchors
------- ----------------------------------
�!alls Studs -Nailing. Spacing & Bracing -Plates -Sound
----------- ----------------------------------------------------
aring Walls over Girders & Floor Nailing
--- - -- -----------------
--------------------------------------------
Draft Stop in Walls (rat proof)
--- ------ -------------------------- — -------- - -------------------
Fire Stops: Furred Ceilings -Stairs -Chases -Tub.
eaders & Beam -Size & Bearing
& Duplex)
Date* faAMING (Continued)
45e -Hangers -post Caps -Anchors -Connectors
jSretTtg: Joist-Rftr. ties-Purlin—root Brac-Truss-Shthng.-Rfng.
4 Ce dies or Type A Flue -Fireplace Throat clearance
tt' Access; Size & Romex Protection -Draft Stop -Ins. Baffles
—. Windows or Exiting Doors -Sill Hgt. & Dimensions
— - — _9a -E, araTjr-Rae Protection Framing
5 .. rFP_operly—Line Firewall & Openings
52—E e_3: -Check Garage -3rd Story, 2 Exits
�r flnn c_(]n
------ - ., -Headroom-Rise-Run-Landing-Fire Protection
--- ywood on Roof Overhang -Attic Vents -Rafter Outriggers
- -
35 -Nailing Veneer
---------------------- --
5--97-cco-lesh-Drip Screed -Fd. Vents-Underflr. Access
5f` 6+ezirtr Area -Glass Protection -Skylights -Plastic
------- ------------
9a"51Teur'*alls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Dat rf- Card B-14 psi— Date _ Card B-1
Da Card B-1 Date Card B-1
Date FINAL (Plans) OK except 4's
6 xt. Steps -Door & Sidelight Protection -Landings
6 mo Detector
mace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
--------------------------
Iili �Bedroom Exiting
-- ----- --------------------
G.F.I. & Bath Fixtures & Tub Access -Spa
--- ---- -. lec. Trim-& Subpanel: Breaker Sizes & Labels
6----' airs & R a ds
------------
--------- —
Fireplace or Stove: Clearances -Hearth
. lec. Outlets at Wood Panel: Int. & Ext.
-- - -it Fixt_& Appliance: Grnd -Air Gap -Cooking Clearance
7 ec. Outlets & Receptacles at Kit. Counter
---------- -------------
-------------- --
72._GeTage Fire Door: Swing -Landing -Closer
------------- -------- -
73 . Duct in Garage -Damper
------- - ----------------------------------
7 -tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
-------- Elec. & Mech Equip. Listed for Location
c. Receptacles in Garage: (G.F.I.)-Romex Protection
-- ---- 7-'. I ulation-Foam-Looked in Attic ❑ Yes
uard Rads & Deck Construction -Post Caps
7/%dn. Vents & Crawl Hole Door -Drainage & Wood -Earth
---
---
-----------------------
learance Looked under Floor ❑ Yes
- ....................
- - - --
80 ollowing instld. Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
anters ❑ Yes ❑No
8//Stucco: Brown -Finish
A.C. Unit: Disconnect. Electrical, Plumbing
/Vents Above Roof; PIbg-Appliance-Fireplace.-Clearance to
- / Openings --------------
---
d4 ter Well: Disconnect, Electrical, Plumbing
------------------ --- --- --
5 Exterior Elec. Trim: G.F.I. Receptacle -Underground
---------------
"6. entilation Throughout House--------------------
— - — — -- —
lass Protection
-- - --------------------- ----------------------
0 7ections from Previous Inspections
------ ----- -- --------------------------------------------
8 as Test -Meters Tagged: Gas -Electric
-------------- -- ----------------- ---------- ------------
0 Water & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
Date - ard_B- ----Date _Card B-1
------ -----------
��, - --
Date/ Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
J=OK
O = Not OK it
Not Applicable
Not Ready � MOBILE HOMES
=
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card 6-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B -1 -
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
• 7 County Center Drive - Oroville, Callfornla 95965 - Telephone: 916/538-7541
APPLICATION AND pERMU
PERMIT NO.
ASSESSOR PARCEL NUMBER
_ _
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
533-8236
SQ. FT. OCC. BUILDING VALUATION
O W N E R'S M A ILNG An. DRES
nroViEst.
494 R 26,67 .00
500.00
C.Ni RACTOR'S NAME
TELEPHONE
CON R'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1 $ 27,176. TO
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE No.
Filing Fee $ 15.00
Permit Fee $229.50
Plan Checking Fee $114.75
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $ 20.00
Penalty $
BUILDING ADDRESS
Permit fee $379.25
50 Post Lane- oville
PLUMBING PERMIT Filing Fee 15.00
Each Trap 11 5.00 1 9 00
Solar or heat pump water heater 20.00
LOT NO.J
SUBDIVISION NAME
PARCEL AP
Water piping 7.001 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G W @ 15.00
TYPE OF WORK
New ❑ Additiong] Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: Add 2 Bedrooms and Con's/" 7 F.xi sr� neo
2 Bedrooms to Dinin `Laundry
Permit Fee $-
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200A OR LESS 18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑I am licensed under p
provisions of Cha t. 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)
ElI, as the owner, am exclusively contracting with licensed contract -
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200A TO r000A, 37.50
NEW CONST. ( DWELLING OCCUP.S+\ X 3.6Qsq.ft.
OR ACDNS, l ACC. SLOGS. // A 17.30
NEW CONSTR UL LOUT LET
NON.R ESID BRANCH CIRC ITS @ 5•�0
POWER APPARATUS e
SINGLE OUTLET CIR. /
EX. OCCU p( OUTLETS OR FIXTURES 20 76
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.) 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring -15.00
Permit Fee $ 32.30
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
EI/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.
Contractor
MECHANICAL PERMIT Filing Fee 15.00
Heating
Duct Ext. 1 9.00 9.00
Cooling
Hood 6.50
Ventilation
Permit Fee $ 24.00
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, indem ify and keep harmless the County of Butte against
all liabilities, judgments, os s, nd expenses which may in any way accrue
again"id id Count in co e e e of the granting of this permit.
"X Date ���
of Applicant - caner 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 S
Energy Inspection Fee $ 40.00
CON PE
t OTAL FEE $ 517.55
HAz
of
IMP
FLOOD CDF
PARCEL
PD
HD
ISSU
This permit is hereby issued under the applicable provi-
sions
sions of the Butte County de and/or resolutions to do
Work indicat ab o r hich fees have been paid.
IR F PUBLIC WORKS
By Date/-%
PE IT EXPIRES Date Z -
Receipt No. 135156
WRIT!-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
�. `nvw'.YK+ ., ♦* w.::, .ly�fi<{ '7+r -Y :;r 4`. + _ .:.c ,�r 'Sf, ..r !fy
- '- r . � i��}lawrrw'•�r.f+y^7•_r"�,�v��,.rf•'�....1iM t•��ii,, -•,'7"f. i" nSf"rrR '�,:- 'NMy�� �- •i=,-t'�,.s� vjy �"�..i' "�f 1 7 � ����`� y.
IJUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
V
7 COUNTYCENTER DRIVE - OROVILLE; CALIF9F;?;!I� ,95g-%, TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER �J hl� i,,0N6' A. P. No. bog - (Zo -Z-
Proposed
Proposed Building Use Aw d.- Building Inspector Date 1 43
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED By
1. All items have been submitted . ....................................... .
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3, Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4. Engineered plans and talcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form... ....................................... .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. .......... .
10. Fees of $ :........... .
11. Impact fees as shown on attached schedule.
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . ............... .
14. Sanitation and plot plan approval M4- Health Department. -
5. City of Chico plumbing permit . . . . . . . . .................................. .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: Parking: %
18. Contact Land Development about (A) Improvements (B) Drainage. ...........
19. Driveway permit (construction approval'required prior to occupancy). ...F;,;4;e6n read
-
20. Pre -inspection for required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance.
23. Owner -Builder Verification (Given to owner , Mail to owner ) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ..........................................
28. Mobilehome utility clearance . .......................... .
. ...............
29. Documentation of legal access . ........................................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . .............. .
31. Existing violations/expired permits . ............................. I. ....... .
32. Plan check list . ..................................................... .
33. - ,
.34
When�you issue the permit,53. 750 ,ppr�ocess as follows: Mail to owner. Mail to contractor.
V Telephoneand hold for pickup at 09..Coj I -e-.- office. Deliver with inspector.
Other
Parcel Creation I
Acreage ApplicantZ&k46 Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date / 9'
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
TO: §gilding Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
C� rf OA/6��
M
• f.H. USI; r)\I Y
Plot Tian A,uched
11wo H:m Auachrd _
7 73
��6 -Igo-o�-
Owner Location 04 , AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for Other /bbl N
Hold fi or:
Fin clearance O.K. for:
Environmental Health Specialist e
8/92
Environmental Health
JAN 2 6'1993
Oroville, California
__-
w
J
3.59
PppRcour y--Ith
�3
14
COUNTY OF BUTTE - Department of Llublic Works
7 County. Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to?provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. 1 (have/have not) 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. 1 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:
Property Owner
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 per-
mitted to issue the permit.
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
114169 Huumoboldt Road, Chico, CA (916) 891-2751
7 CmumftV Cermer Drive, Oroville, CA - (916) 538-7541
7417 Elfiott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
'-/ 77
COVA12 / PERMIT NO.
Affie- m 11 ides that die foilowig violations of Butte County Ordinances exist at
Abe aih®se afilmsim amli shmAll be corrected_ Please notify this office when correction of work
-iccosrp1eIWmLWj=1 seamquestionspertai*mtothis matter,orneed additional explanation,
pteaQ eartacs 16-m o is bm=Aatdp_
DaW / 2Inspector
FdEV CM
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307.
CORRECTION NOTICE
MIT NO. r
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
i
0
Owner: SlDAr'
ENERGY CERTIFICATION
LOCATION A.P.#
DESCRIPTION OF
INSULATION
k00F
MATERIAL
BRAND NAME
THICKNESS
THERMAL RES.
EXTERIOR WALL
MATERIAL Fiberglass
BRAND NAME
Certineed
6 �sf 3
THERMAL RES.
/9//3
THICKNESS
CEILING
BATT OR BLANKET TYPE—FIBERGLASS
BRAND NAME
Certineed
THICKNESS %Z ` `
THERMAL RES._
3
LOOSE FILL INSULSAFE III
BRAND NAME CERTAINTEED
THICKNESS
THERMAL RES.
FLOOR—ELEVATED .
MATERIAL Fiberglass.
BRAND NAME
Certineed
THICKNESS
THERMAL RES.
FLOOR—SLAB
INTERIOR WALL
MATERIAL Fiberglass
BRAND NAME
Certineed
THICKNESS
THERMAL RES.
I HEREBY CERTIFY THAT -THE ABOVE INSULATION WAS INSTALLED* IN THE ABOVE
BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS.-
HAWKINS I D.IN dba HASTA INSULATION' LIC.1650722
Ile
294— V
z 93
Ihereb.y certify the above insulation and all required items as shown
on, the building department approved plans and Attachments have been
installed as required by the State of California Energy Requirements.
All equipment devices and materials are of the quality prescribed or
are specifically approved by the State of Calif.
FIRM NAME/OWNER (PLEASE PRINT)
STATE CONT. LIC#
SIGNATURE OF GENERAL CONY OWNER DATE
This certificate must be on file 'with. the Building Dept,, prior t,6-.. Pin a 1
and nocrPd W4 thit .►,e i..., 1 a,....
11
•
•
Building Owner'_g
Building Location
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material
Thickness(inches)
ENERGY INSTALLATION CERTIFICATE
Building Permit #'� l %?
DESCRIPTION OF INSULATION
CEILING
Batt or Blanket Type
Thickness(inches)
Loose Fill Type
Minimum Thickness(Inches)
Area covered(ft.2)
�FLOOR, ELEV ,
Material
Thickness(inches
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material _
Thickness(inches)
Brand Name
Thermal Resistance (R Value)
Brand Name
Thermal Resistance(R Value)__
Brand Name
Thermal Resistance(R Value)___
Brand Name _
Number of Bags Wt. per bag lb.
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building,
-1s consistent with. approved building depart-ment--plans--and attachments- and- con-
forms with requirements of Chapter 2-53 of State of California Energy Requirement
FIRM NAE/OWNER
SIGNATURE OF INSTALLATION APPLICATOR
STATE CONTRACTOR'S LICENSE 140.
DATE
I hereby certify the required features, devices, and equipment, ab shown on the approved
Building Department plans and attachments have been installed and conform to the appli-
ance standards and Chapter 2-53 of the State of California Energy Lequirements.
BUILDING CONTRACTOR/OWNER kPlease Print).
(FIRM NAME)
SIGNAT OF BUILDOG CONTRACTOR/OWNER
HVAC FIRM NAME/OWNER (Please Print)
SIGNATURE OF HVAC CONTRACTOR/OWNER
STATE CONTRACTOR'S LICENSE NO.
z3 - 0
ATEA
STATE CONTRACTOR'S LICENSE NO.
DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
SEPTEMBER 1988
PRIOR TO FINAL INSPECTION '.-
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(OnQ,Form ,Per`Building)
School District jjeo LkA
A.P. Number 0(96' 12 v
Property Owner �To"
dG ZJurisdiction
W
Building Department No.
City (�" County
Property Location/Address
Subdivison Lot No.
Residential Development
P 0 0 �`Sq. Footage ! 9
No. of Living MHI Addition (Group-
Units
Group Units
Commercial)Industrial
• 0 Sq. Footage
New Addition
(Including Exterior
Roofed Areas)
i
i
Building Department Representative Date
(Floor Plans reviewed by School District Personnel)
.r l >�
District Identification No: � 1,69��`'
School District certifies that
ress)
:.l
(CRY)
(State)
t �
/ (o plicant)
(Phone Number)
(Zip Code)
has complied with the requirements of Resolution No. by payment of $ A,4
representing .500 't -f, square feet.
istrict R
Paid by Check Number
Bank Number
Paid by Cash
IQ -7/43
Date
Remarks:
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by, the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools
White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92)
ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET
--y PACKAGE ,COMPLIANCE , •
` Owner dT1 - Climate Zone_
Permit # Floor Area
The following data showing mandatory and required features shall
be installed for additions to dwellings. Additions to dwellings
include room additions, converting garages and patios to living
areas, house moves that add footage and attic conversions, and any
space that is existing non -conditioned space that is converted to
conditioned space. Remodeling of existing conditioned space is not
included.
Climate Zones 11 and 16*.
Component
<=100 sqft
101-499
500-999
>=1000 sqft
Ceiling
R-19
R-38
R-38
Ins.
'
Wall Ins.
R-13 ".
r
R-13 l
R-13
R-19, 21
Floor Ins.
R-13
VR -19N
R-19
R-19
Slab Edge
NR
NR, R=7
NR, R-7
NR, R-7
Ins-.
Glass (U)
.75
-.75
.65, .60
.65, .60
�
Max. Glass
50 sq.ft.
16$'+""
16% +
16%
�Removedr
Removed
Shading
NR
.-66. ,.r
.66
.66
Coeff(S&N)
"
Shading
NR
.40, .66
.40, .66
.40, .-66.
Coeff(WSE)
Thermal
NR
5% Raised
5% Raised
5% Raised
Mass
20% Slab
20% Slab
20% Slab
Heat, Elect
Not Allowed
Not Allowed
Not Allowed
Not Allowed
Resistance
Heat, Gas
AFUE 78%
AFUE 78%
AFUE 78%
AFUE 78%
Heat Pump
HSPF 6.8
HSPF 6.8
HSPF 6.8
HSPF 6.8
Split Sys.
Heat Pump
HSPF 6.6
HSPF 6.6
HSPF 6.6
HSPF 6.6
Package
Cooling -
SEER 10.0
SEER 10.0
SEER 10.0
SEER 10.0
Split Sys.
Cooling -
SEER 9.7
SEER 9.7
SEER 9.7
SEER 9.7
Package
Increased #
Allowed w/
Allowed w/
Allowed w/
Allowed w/
of Wtr Htrs
calculation
calculation
calculation
calculation
* One entry/column = req both zones, 2nd entry = req zone 16.
4
SPECIAL FEATURES/REMARKS `
LOOSE FILL INSULATION (Density)
INEIhTRATION' C� (Weatherstrip doors, .-certified windows,
tc.aul.ki-ng )�
VAPOR BARRIER (Zone 16) `
DUCT.S3 PERF UNIFORM: MECHANICAL. CODEi - Ch. 10
LLGH.T.LNG "KIS.CHEN - S� BATH_ NOT: LESS THAN. 40 - LUME� NS/WATT
DESIGN COMPLIANCE STATEMENT: The above building design meets the
requirements of Title 24, its 1 and 6 of he Ca ifornia Code of
R lations
e9u
(Jan 93)-S G URE OF BUILDING D §IGNER,,# APPLICANT
SPECIAL FEATURES/REMARKS `
LOOSE FILL INSULATION (Density)
INEIhTRATION' C� (Weatherstrip doors, .-certified windows,
tc.aul.ki-ng )�
VAPOR BARRIER (Zone 16) `
DUCT.S3 PERF UNIFORM: MECHANICAL. CODEi - Ch. 10
LLGH.T.LNG "KIS.CHEN - S� BATH_ NOT: LESS THAN. 40 - LUME� NS/WATT
DESIGN COMPLIANCE STATEMENT: The above building design meets the
requirements of Title 24, its 1 and 6 of he Ca ifornia Code of
R lations
e9u
(Jan 93)-S G URE OF BUILDING D §IGNER,,# APPLICANT
8/91
RFrSIDENTIAL PLAN CHECKING GUIDE.
MISCELLANEOUS ITEMS TO LOOK OUT FOR ✓ l 7
Stairway details: landings, rise and run, head clearance, handrails
(Sec. 3306).
Guardrail details (Sec. 1711 & 3306(j).
-'-Brick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec. 4706).
. Proper roof pitch for roof convering (Chapter 32).
--Roof covering type - (fire hazard)..
_ Foam insulation - protection.
r 36" halls and stairways.
Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
9 -Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716).
—Attic access and ventilation (Sec. 3205).
27.—Underfloor access and ventilation (Sec. 2516).
3 -.—Combustion air for fuel burning appliances - L.P.G. requirements.
Noise requirements on duplexes.
Energy design.
5:—Flashing at all exterior openings.
CDF responsible area requirements.
RESIDENTIAL PLAN CHECKING GUIDE 8/91
(S.F., DUPLEX & MISC. ONLY)
Bldg. Permit #
OWNER A. P. # 6 17
GENERAL Plan Checker_ LAS
4. Zoning requirements: (sideyards and number of permitted living units).
. Valuation.
--3--- P -fans' signed by designer.
4-�-Proper description of work on application.
MMemsviolations on property.
ems on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
/7. Recorded notice of violation.
PLOT PLAN
Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc..
Otherbuildings or.structures.
Grading, fills, drainage.
Flood hazard.
Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb-
ustible, and foundations).
FAU & FAS road setback.
Building or utilities across lot lines (Record form).
FLOOR PLAN
Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1205).
Required windows for second exit (Sec. 1204).
Skylights (Chapter 34 & Sec. 5207):
- Human impact glass (Sec. 5406).
:::�Required room sizes, ceiling heights (Sec. 1207).
GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for main-
tenance of mechanical equipment.
Locations of water heater, heating and cooling equipment, other electrical
or gas equipment.
5. Garage firewall, door size, and closer (Sec. 503(d)(3)).
�- 3'0" exterior exit door (sec. 3304 (f).
2 -Fireplace and wood stove location, alcoves, and clearance.
Smoke detectors (Sec. 1210).
dumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
Standard bracing or engineered design (Table 25V)
—Unusual shape, size, or split level house requiring lateral design.
Clerestory requiring balloon framing and/or engineering.
.Three story building requiring engineered calculations and plans.
Foundation plan complete enough to construct building.
' Floor 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 necessary.
Rafter ties or bearing ridge beam.
rarage door or porch header sizes.
ud heights.
dobe soils - special foundation design.
etaining walls requiring design.
Special Inspection required.
7-7
62397-77B
.-,PERMIT NO.
• s
gam/
PERMIT EXPIRES
John Long
OWNER
CONTR.
owner
LOCATION (A.P. 34-06-62
1 50
Post Lane, Oroville
ti
•
i,.
ii
f.Y
tix
.
J
Str.
J(
• l�
Jy
71
Temp. Power Pole
Called PG&E
Tempa Elea Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
#
JOB
FINALED
(Date)
(Signal )
x_
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
. BUILDING INSPECTION RECORD
Water Piping Sewer Gas Piping
MOBILEHOME INSTALLATION - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE ��- % / REMARKS OR CORRECTIONS—
A44-
ORRECTIONS_A 4- 4 oo SZ D/97- FAOizr
rArS774 c,1-- 2FIS/9/Z `� � #P i>',Ax/
3,W-:?, 4 mil A-E.. SC d
(NOTE: An entry must be made on this form each time you visit the job site.)
RES IDENT IAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CQNFOWITH ENERGY CONSERVATION REGULATIONS
AT S d
(location)
BUILDING PERMIT NO. 6 Z 3 y -7?' A. P . NO. 3 oG G
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge
Fdn. Walls
Floors
Walls
Ceiling/Roof
Ducts_
Circulating ffipes,
APPROVED HEATER
APPROVED WTR.HT�R•__�
GLAZING:
Single Glazed
Special (Insulated) d liJ
CERT. & LABELED WDS.
& SLIDING DRS .
WEATHERSTRIPPED DRS. 1
BACK DAMPERED FANS
INTERMITTENT IGNITION D ICES
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
Signature of (please print)
Insulation Applicator
State Contractors
License No.
General Contractor/Owner Nam 1 U N"
y1ese print)
Signature of / q
7.
General Contractor/Owne Date 7' -/ 7'4
St#Ee Contractors
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.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, C�Iiforniaj%965 - Telephone'916/534-4541
r APPLICATION AND PERMIT
PERMIT NO.
U
ASSESSOR PARCEL NUMBER -
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER' HALING ADDRESS
c.
—
CONTRACTOR'S NAME
TELEPHONE
•.�-.
CONTRACTOR'S MAILING 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 ADDRESS
Permit fee
$
BUILDING ADDRESS
d 6 �
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
1 2.00
Repair drainage or vent piping
2.00
d I90t.,v LLAff
Water piping
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SFS Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
Newts Addition[] Remodel❑ Utilities Installation❑ Other❑
Describe work: � 1�C3ta tv�,a 'n z- 01A?Y •
\�T�y
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
0V OR L
Main service 100 AMP ORSLESS
5.00
Main service EA. ADD'L too AMP
2.50
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGS.CCUP,&)
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
'
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEWCONSTR ULT' -OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR. POWER APPARATUS g
NON .R ESID. (SINGLE OUTLET CIR,
Ex. Occup(OUTLETS OR FIXTURES 50@�
BALlm 10¢
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID,) EA.)
2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee
$
Contractor
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.
�1 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
FiIingFee 3.00
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 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 sat County in conse ce of the granting of this permit.
X Date �':�
Signature o -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 $
Land Development Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
HD
ssUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for w 'ch
ECTOR O P BLIC
PONIfT EXPIRE ate
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. � 7 3 ?"g,By
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
.�
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Dato
,rrgnature of Permitee osr�Agent
Receipt No. �`-13
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.
DIRECTOR OF PUBLIC WORKS
By [� �• Qate % 9
Building pit expireVDate
BUILDING
Owner J 40 j 00 (:6
SQ. FT. OCC. BUILDING VALUATION
'54
Mailing Address 2 L
Z"
Zpsepha�'NLo3 �
I
L
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address , _�
p j; (��kXJr,..
P /
Plan Checking Fee &/orPenalty
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
67&6 -
Repair drainage or vent piping 1.50
aWater
A. P. No. "J — U Cv — �P
Zoning & Planning
piping 1.50
Each gas water heater or vent 1.50
Fe
W.
SdCa
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
E�1A
Parking
Plans
I Parcel
Declaration
Parcel Map
60' R/W
I Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. Pionan Recd I
Parcel Approval I
_
Plans Approval
Lawn sprinkler system 2.00
NEW ADDITION ❑ ❑ OTHER
Permit Fee $
nUTILITIES
��-r��v�v�'t� Df- I -S7-11
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
00V OR L
Main service 100 AMP ORSLESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER e 25.00
100 AMP O OR LESS
Main service EA. ADD'L 100 AMP 1.00
ONEW CONSDWELING R ADDNST ( // ACCLBLDGS.CCUP. B) 22 sq ft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
NEW CONSTR BRANCH CIRCUITS)
NON.CONS ( BRANCH CIRCUITS) 2.50ea
NEWCONSTR.(POWER APPARATUS &
NON .RESID.. (SINGLE OUTLET CIR.
EX. OCcuo(OUTLETS OR FIXTIIRESBAL@1
FIXED APPLNS. OR
Ex. OCCup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
•
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
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 1 shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee' $
$
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
Land Development Fee
$
TOTAL PERMIT FEE
$ d
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Dato
,rrgnature of Permitee osr�Agent
Receipt No. �`-13
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.
DIRECTOR OF PUBLIC WORKS
By [� �• Qate % 9
Building pit expireVDate
4�1
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — -Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
above-mentioned property for inspeQtion purposes.
X !tom Date
Signature of e or ent j770
Receipt No. /White-D.P.W. — Y/d/j
s�Pink rispector — G denrod-Applicant
I nis 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.
D'REC F PUB IC WORKS
Date
Building permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Iddress y as-if�
a
� v
ff
ele hone�o.
Fireplace 7 S-0
Contractor
Total Valuation S�
Mai I i ng Address 1611V I
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Zoning Verificafion Only
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. ®(� --
/
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F s
W n Fire Dept. Fire Zone I Use Permit
Parking Parcel Pyr elvMa
Plans Declaration p 60' R/W Improvements
Building sewer 5.00
EQA
Lawn sprinkler system 2.00
Bldg. o�.Rec'd -Par pproval
Plan Approval
Permit Fee $
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 100 AMP ORV OR LESS5.00
Main service EA. ADO'L 100 AMP 2.50
Single Family, Duplex ❑ Mobil Home ❑ Others ❑
OVER Main service 1100 AMP OR LESS 25.00
Main service EA. ADD•L 100 AMP 1.00
NEW LING O
OR ADDNST ( ACCLBLDGS.CCUP. &) 20sgft
J
_
NEW -OUTLET
NON.RES'.. BRANCH CIRCUITS) 2.50ea
NEWCON5TR /POWER APPARATUS &
NON .RESID. \SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:EFIXED
Ex. Occup(OUTLETS OR FIXTURES)@
BAL@1
APPLNS x. Occup. (OUTLETS ((RES(D.)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 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.
F-1 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
ermit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fe 17 $
$
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
anihnri�c ronrcco..r�rt..e� ..r •ti.. n,.. ...... _. n...._ ._ __.__ _.__ ..
�'� B®
TOTAL PERMIT FE
$ av, 16-7c,
above-mentioned property for inspeQtion purposes.
X !tom Date
Signature of e or ent j770
Receipt No. /White-D.P.W. — Y/d/j
s�Pink rispector — G denrod-Applicant
I nis 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.
D'REC F PUB IC WORKS
Date
Building permit expires Date
From: Environmental Health
Rega=di:g: Sewage and/or Water and/or Addition Clearance(s)
OW11ER I I LOCATION A.P. No.
Plans are approved -for: Sewage Disposal Water Supply
Hold u) Final for:
Final :Clearance 'OK for:
Clearance is for a � bedroo (home r mobile home).
The, addition(s) will. be
INS
Other
Water Supply
Water Supply
Date -- _.
PERMIT APPLICATION WORK SHEET
Zoning 34 Use lPkoposed
Permit fee based upon: 1. Complete contract price.
2._ -Partial contract price (explain).
DPW Valuation (show)
Permit No.
A. P. No.
Approved
Not approved
At time of permit application, the applicant was'advised the following data or information must be
submitted prior to permit processing and/or issuance:
Date received
1.17
=1otplan
have been submitted. _______________
n du licate/triplicate. r -�pl ate/tw �' -------
Complete
---
-r - -
Complete engineered plans and calcs. --------------------
Fees of $ 2- .C'O--------------
® Letter of signature authorization. ----------------- -
Sanitation approval., ------------------------------------
8. Planning approval for --
9. Workmen's Compensation Insurance Certificate. -----------
10. Contractors license information. ------------------------
11. Parcel declaration, recorded copy. ----------------------
12. Access declaration. -------------------------------------
13: Aunt Minnie information. --------------------------------
14. Deed of access, recorded copy. --------------------------
15. Deed of parcel creation, recorded copy. -----------------
16. Parcel map, recording data. -----------------------------
17. Pre -inspection request for --
18. Improvements - plans required & DPW approval. -----------
19. then ------ -
Byjz Date �
g. ,Inspector
During plan checking process, the following data
or information must be submit d prior to pe
issuance: s
1. Index permit for items
above and in addition t e followin .
2. Applicant advised by Telephone
A 1,07 Mail
3. Plans checked by
4. Plans approved by
Date__
Date � ee
en permit is issued, process as follows:
1. Mail to owner.
2. Mail to contractor.
3. Deliver with' -inspection.
y_ 4. Telephone and hold
for pic p @ office.
_ 5. Other -� X s
Before permit issuance, all of the following
items must be signed or marked NA:
1. Zoning use
2. Legal parcel
3. Envir.Health - Date Plans Sent r
A. Sanitation '
B. Restaurant '
C. Other
4. Public Works - Date N"dtice Sent
A. Street Imp.
B. Drainage
C. Permits & Fees
D. Other
Planning
A. Use Permit
B. Variance
C. Other
6. Other Agencies - Date Plans Sent
A. Fire Dept.
B. Other
COUNTY Op RUVre
DEPT. OF PUBLIC
f7, - WORKS
AM APR 2 B 1978
7,819,10,11,12,11,21 PA#
3141516
utte county
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
John Lon
50 Post Lane :RE: Building Permit 9-
Expiratio pa 2/-1lL.95/,95
Oroville, CA 95966 A.P. # �68-�a-062
With reference to the above subject, our records indicate that your
building permit. expires on the above date and your permit falls into the
category marked below:
[ ] Permit work started, but not completed. Permit may be renewed
for 1/2 the original building permit fee (plus a $20.00 filing
fee). The renewal permit will extend the building permit for
an additional year from the original expiration date. Should
you not renew your permit within 30 days of the expiration date,
all work must cease until a new building permit has been issued.
For your convenience, we are enclosing a renewal application form
and owner -builder form to be completed and signed by you where
indicated and returned to this office together with the fee
shown. Please return all copies of the application form.
this r pa�ar.
,a.... No inspections have been made on permit work .`� Inspections are
required to verify code compliance. We are unable to renew a
permit where the work has not been started and inspected prior
to permit expiration. After expiration of your permit, no work
may be started until a new permit has been issued.
If our records are in error or should you have any questions concerning
this matter, please contact the Oroville 3 office.
Thank you for your prompt attention concerning this matter.
Yours very truly,
Michlael C.1 Vieira, C.B.O.
MCV:ahb Manager, Building Inspection
Attachments
Chico Office - 1469 Humboldt Rd/891-2751
Paradise Office - 747 Elliott Rd/872-6307
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