HomeMy WebLinkAbout068-140-09268-14-92 _
JAMES WILLIAM "t4ASH I�' TABLE MOUNTAIN LUMBER 4526B
47 Skyline Blvd, ORoville
PEr-,.it#2142-88B(re�oof/SF) 3577P
4968E(s) 4627E(s) '440,"
68-14-92 � _ 20-3 `
en deck/SF)
Permit#2143-88B(a3d op 444 47 Skyline B1vd.,Orov' le
_ - (new, single family) �� ' a5 - 6
�( �5 65-14-92=`
Permit#327- 8E(upg
rade ele)SF
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68-14-92 V7
SF
Permit01 74-89B,E,M(add family room)
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041770 S�
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COUNTY OF BUTTE
BUIk ING DIVISION - 1
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street�Chico,'CA • (530) 891-275'
7 County Center Drive • Oroville, CA • (530) 538-7541
COWRECTION',NOTICE
5�6
WNER PERMIT --N(5.;
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please cont ct this office immediately. 'z
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PERMIT NO. —
PERMIT EXPIRES
OWNER' .TAMES NASH
j,
(
CONTR. owner
ASSESSOR PARCEL65-1 4-92
h
LOCATION 47 Skyline Blvd, ORovi11e
Temp. Power Pole
Called PG&E
"
Temp. Elec. Service _
Called PG&E
Temp, Gas Service.
A
Called PG&E
JOB FINALED (Date)
r
Signature Ax
• c
= UK
0 = Not OK w : RESIDENTIAL (Single and Duplex)
- = Not Applicable
• = Not Ready - • ,
Date UN RFLOOR (Plans) OK except #'s
Zo 'ng -Setbacks; -Easements -Flood -Slope
/QJrr9 . tg., Main; Soils-Steel-Elec. Grnd.-/ Ftg. Deptf
_ 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Card -Bi !!/J Date,/e-Gd" �ard-131 Date
Card -131 Date Card -131 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -131 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Date ELECTRICAL (Permit) OK except #'s
22. Future & Transformer Clearance -Ins. Protection
lec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
ex Installed Close to Edge of Studs & C.J.
quip. Ground made up w/Meeh. Fasteners- Borrd-Gras'&-Water
ircu s in Kitchen & Conductor Size/G.F.I.
,2&_Sub4eed-Wire-Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or At
29--Range-Circ-7 Pga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral _ Yes No
307Se v1 Ice=Riser Conductors & Ground -Main Disconnect
31. E-gtip--Clearances Panels-Motors-Mech. Equip.
32_.C4,o#ves-Goset`Lt_ght-Showe r Light -Spa Light
33.Smoke-De'tector
Card -131 Date OS-- Card -B1 Date
Card -81 Date Card -B1 Date
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -61 Date Card -B1 Date
Card -131 Date Card -131 Date
Date FRAIN1lNJG (Plans) OK except #'s
69'siqwProper Material & Anchors
�ERs Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
A2; Dratt..Stop-+n-WaRs'(rat proof)
43 -ire rred Ceilings -Stairs -Chases -Tub
L-4-4• Header & Beam -Size & Bearing
Date FRAMING (Continued)
a gegers=Post-Caps-Anchors-Connectors
46. Cing. Joist-Rftr.-Ties-Purl in -Roof Brac.-Truss-Shthng.-Rfng.
4l._F4.ep1aee-Yies-or'Fype A Flue -Fireplace Throat Clearance
ess;..Si.ye-&-R x-Proteetien-Braft�Stop-+ns-Baffles
9. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50- 'arage'Fire Protection Framing
51-124-ty-Line-Firewall & Openings
2. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
5 irs-Width-HHeadroom-Rise- Run- Landing- Fire Protection
._Plywood on Roof Overhang -Attic Vents -Rafter Outfiggers
Siding -Nailing Veneer
reed -Fd. Vents-Underflr. Access
Glazing Area -Glass Protection -Skylights -Plastic
pfsulation-Walls-Clg. 91
nfiltration-Walls-Wndws
Card -131 Date p___,,;:Ward-131 Date
Card -Bl, Date/ej�,�/Pand-B1 Date
Date FINAL (Plans) OK except #'s
61..P*4- ps-Baer&-Sidelight Protection -Landings
62. mho �e ecfor
63. F n�-Wrri'ts=Clearance-Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
64 -Bedroom -Exiting
65. GS 4:-&-Bath'Fixtures & Tub Access -Spa
Elec. Trim & Subpanel; Breaker Sizes -Labels
67--�S--'--
68. Fireptac'e'vr-Stove,Ctearances-Hearth
69-E1>?r-.,0utt8ts at Wood Panel; Int. & Ext.
70. KU_Fixt_4-AppMance; Grnd. -Air Gap -Cooking Clearance
71.E eceptacles at Kit. Counter
72. GaLagp Fire Door; Swing -Landing -Closer
73_A C. -Duct -in -Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
arage; Vove Floor-Mech. Protection
C!Z&,-Plb Elec. & Mech. Equip. Listed for Location
76.Elec.-Receptacles-in.-Garage; (G.F.I.)-Romex Protec.
77 J.nsuj0on-Foam-Looked in Attic ❑ Yes
78. Ouard Rails & Deck Construction -Post Caps
79. 6da-Vents-&-Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
8 o owin stld.; Drive •❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
&J,.Siucca;-Brown-Finish
82-,A-G-6In4-Disconnect, Electrical, Plumbing
83.-Vents-AbZTe Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
84.^bd'ater-VVet isconnect, Electrical, Plumbing
jjM'Exterior Elec. Trim; G.F.I. Receptacle -Underground
Aae-Tentilation throughout House
Glass Protection
88. Geffeeftam-f-om Previous Inpections
89.cfts-Test-Meters Tagged; Gas -Electric
90.*1a4eF4-6ewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
9Z. Hooting Ger iti.cate
Card-ByF . Date// Card -B1 Date
Card -Bt Date Card -131 Date
Card -81 Date Card -B1 Date
Comments at Final:
=OK -
0 = Not OK
' = Not Readyiable
MOBILE HOMES
-
MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts- Beam s-Rftrs.-Connec.-
- Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1
Date Card -B1 Date
10. Roof; Shthg-Roofing
Card -B1
Date Card -B1 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -B1
Date Card -B1 Date
2. Footings; Size -Spacing -Marriage Line
Card -B1
Date Card -B1 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
Card -B1
Card -B1
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 -B1 Date
'Date Card -B1 Date
Card -B1
Card -B1
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.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card -B1 Date
Date Card -B1 Date
COUNTY OF BUTTE
t_
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
/'�/ 7a -
OWNER
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector � Date l� 2 /
COUNTY OF BUTTE - D.FPARTMENT OF PUBLIC WORKSPER IT NO.
V,
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATI6N AND PERMIT
ASS ORI PAR NUM
fey)o
ZONI G
BUILDING PERMIT
E
H
SO. FT. O C. BUILDING VALUATLON
OW MAI G ADD SS )�a
4 l
CO CTOR NA ]TELEPHONE
f-
CONTRArTORrS MAILING ADDRESS
Fireplace
CONSTCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARC I ECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$
Energy Plan Checking Fee
$
-
ARCHITECT R ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
yd I
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
r 011/i
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I IN
0.00 ea
TYPE OF WORK
New ❑ Addition [V RemodelUtiliti s ❑ In Ilation❑ Other ❑
SCC
Describe work: 00
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service Q00V OR 0 AMP ORLESS10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
1 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
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code .
for this reason
NEW CONST, DWELLING o ,/zQsgft
OR ACDNS. ACc, BLDGS
NEW CONST R. U TI.OUTL T 2,50 ea
NON-RESID .BRA CH CIRC ITS
POWER APPARATUS e
SINGLE OUTLET CIR. )
Ex. OCcup(OUTLETS OR FIXTURES 20950C
DAL030
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
g
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PER IT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 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
aid County in consequence of the granting of this permit.
Dat ��
of Applicant — Owne2W Contractor ❑ Agenr
An OSHA permit is required for cav tons over 5'0" deep and demolition or construct-
ion of structures over 3 stories i he'
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PE MIT FEE $
o 0
CONST,T Pc
Al
SENO
,%
1r
RLOO
ARCE PD
ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PEof EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
`
Receipt No.
WNITC-D.P.W.. YELLOW-A9sCSSOR, P&- 1. -P. CIT.., GOLDENROD -APPLICANT
OWNER'S NAME:
414,
PERMIT
PERMIT # : /���� A -.-P. #:
When approved, process as follows:
Mail to owner
(Address)
Mail to contractor
(Name and Address)
Call M—q-'&M M and .hold for. pickup at office..
Deliver with next inspection.
$15.00
REVISED PLAN CHECK FEES PAID:
RECEIVED
DATE
TIME / /1'0O
$30.00 Additional Fees Not Required
, 16
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COUNT.
WCLDING DEPARTMCNI
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9
COUNTY OF BUTTE - DEPARTM NhjT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPtICATIDN DATA SHEET
0
Permit No.T
OWNERV3A. P. No.I=� 7 c�
Proposed Building Use 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, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings .............. —
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
Park fees paid . �.................................................
��� n S hoot District fees paid ................ .
Ey
nitation approval from �`� 1%, 1 %(�.– Health Department ...
14. of Chico plumbing permit ......................................
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use -.—(B) Parking: .........
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
Pre-Inspec. request to
19. Pre -Inspection for required ...... Building Inspector (Dake)
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........
23. Recorded copy of Agricultural Acknowledgment Statement ............
24. Letter of signature authorization .....................................
25.
–2�
When you issue the per it, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at ��_office. Deliver w/inspector.
Other
Aprcan i . � Date /2
I
Copy of plans sent Health Dept., Fire Dept., Other Date
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, designeCw was advised of above required data by_phone�naiI—counter byJL date J ?L
Contractor, designewas advised of above required data by—phone —ma II—counter by date
Plans checked by �/n Date Plans approved by42?�,t Date L
Copy—DPW
Sets of plans on hold in File cabinet AP folder
TO Buildinc Department
FR®gg; Environmental Health
SUBJECT: Sanitation Clearance
0-7
- -- Owner
'L6d'APO
Approved for:.. Sewace.Disposal ?C' Water Supply
Hold final for: Water Supply
Final clearance O.K. for:. Water Supply
Clearance for bedroom mobile home. Other c
r
e"
Sanitarian
14
--wt-P44 ,
N p
BUTTE COUNTY SCHOOLS DEVELOPMENT.FEE CERTIFICATION FORM
(One Form per° -Building)
A.P. Number ' Pr �( -Building Department No.
y'R���`d,� "jYyls�i • <�SaYw y e.
School.District QCity Q ;County Jurisdiction
e
K (ie•ti cw ns r?l W+3 e{+ a i i'ti +- +V' yiat+s Rc, °`r } C p
Property Owner
Project. Locati
Subdivision Lot Number
Residential Development:
Sq. Footage _
# of Living M Addition (Group R)
Units
Commercial/Industrial:
New
Sq. Footage
Addition (,Including Exterior
Roofed Areas)
Date
E
District Id No.
School District certifies that
(J (Applicafit Name) (Phone Number)
(StreetAdd're ss)
y
State
has complied with the requirements of'Resolution No.
95-5 CS'
(Zip Code)
e� -F7-/ ;)--
by the pa/ ment of $ �} representing square feet.
School Di,�Vpq�jict Representative
Date
PAID BY CHECK NO. REMARKS
A 6a I&
BANK NO
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL . FEE (5/88)
C
COUNTY OF BUTTE -.Department o_f.Public Works
7 County .Center Drive, Orov .11e, CA 95965 Phone: 916-538-7541
OWNER-.BUILDER.VERIFICAT,ION
Attention Property Owner:
An "owner -builder" building.permit has been applied for in your name and bearing
your signatur.e.-
Please complete and return this informatio.n: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. I (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. I plan to provide portions of this work, but I have.hired the following person
to coordinate, s pervise, and provide the major work:
Name _1 --
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 Mej�r�i�tDate CI
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.
FORM 7
.ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET
.PACKAGE "A" (Additions),,
Owner Climate Zone
'i�- G Floor Area
•
Permit # ! �� 7 �""•3� -, .
The following data.showing mandatory and.required features of Package "A" 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.
ZONE 11 Z E 1
APPLIES TO NEW AREA
. CEILING R=30 R-3
• WALL R-11• R-19
o FLOOR R-11 R-
SLAB R-7 k:• R.
oGLAZING U-.65 (Dual) -.6 (Dual)
SHADING
SOUTH - OPTIMUM OVERHANG
or ...36'Shading Coefficient
WEST - .36 -Shading Coe.fficie.nt'
LOOSE FILL INSULATION (Density).
INFILTRATION CONTROL '(Wea'therstrip-doors, certified windows, caulking).
VAPOR' BARRIER -(Zone 16)
DUCTS PER UNIFORM MECHANICAL -CODE - Ch. .10 `
LIGHTING KITCHEN& BATH'NOT LESS THAN 25 LUMENS/WATT
AV MAXIMUM GLAZING -16% OF -AREA PLUS REMOVED GLAZING
NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYS.TEMS,IN '
'CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS.SHOWN,ON BACK'
OF THIS..SHEET. `
OTHER
12/85
*1 . HEATING, VENTILATING, AIR CONDITIONING SYSTEM
' (A) Heating
❑ Central Gas Furnace %
(brand and model number) SE
Btu/hr •a
(heating capacity) '
❑ Heat Pump
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
❑ Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector -
orientation collector tilt rated y -intercept
rated slope
❑ Other
(describe)
*1 '(B) Cooling
❑ Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
❑ Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95°F)
❑ Other
(describe)
DOMESTIC WATER SYSTEM
❑ • (A) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
2 (tank size)
❑ * Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
2
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑ Location of Solar Panels
❑ Other
(Describe)
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing 4
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following: _
Heating: Winter design temperature °, elevation ', heating load BTU
elevation factor x heating load maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature °, cooling load BTU
*2 Submit T.I.P,S.E. chart'or other approved system (form #5) to document sizing of
solar Ipanels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
�GNATUR.EUILDING DESIGNER OR APPLICANT
TO Building Department
FROM: Environmental Health
SUBJECT:. Sanitation Clearance
_C( P
Owner Location AP#.
Plan. Approved for: Sewage Disposal /l ,Water Supply 66:tw)
Hold final for: Water Supply.
Final clearance O.K..for: Water Supply
Clearance for bedroom mobile ome Other
NOTE . +�
Sanitarian ate
Permit#2142-88B
James Wm Nash
47 Skyline Blvd, Oro
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroviile, California 95965 - Telephone: 916/538-7541
APPLICATI1CIN-A-0 PERMIT
PERMIT NO.
, C/
ASSESSOR PARCEL NUMBER
ZONING -
A Q i
BUILDING PERMIT
OWNER
WIS GV r'1 IUA
TELEPHONE
_ y �S�/
SO. FT. OCC.JJ BUILDING VArLyyU��A//TION
OWNER'S MAILING ADDRESS
S K (11JE l 6)O0 If cL 6'
CONTRACTOR'S NAME
S AM
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee $ 10,00
LENDER'S MAILING ADDRESS
Permit Fee $ ,'Z
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
u SK L r
Permit fee $ 3 U
PLUMBING PERMIT Filing Fee 10.00
Each Trap 2.00
Solar or heat pump water heater 20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping 5.00
Each qas water heater or vent 5.00
r� USE OF STRUCTURE
SF,�..I Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home is G W O.00ea
TYPE OF WORK
New❑ Addition❑ Remodel Utilities[] r Installation[]Other
Describe work: I. n� �! f, W to
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 6001 OR LESS 10.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
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
ILU-�I 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.01 ,
OR ADDNS. ACC. BLDGS. /20sgft
NEW CONSTR.MULTI-OUTLET 2,50 ea
NON.RESIO .BRA CH CIRC ITS
POWER APPARATUS e
SINGLE OUTLET CIR.
p OUTLETS OR FIXTURES DAL030
Ex. Occu zAL930
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
U 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. T
I shall not employ any person in any manner so as to become subject
to the W. C. laws of Cafifornia.
Notice to Applicant: If after making this statement,. should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT Filing Fee 10.00
Heating
Cooling
Hood 3.00
Ventilation
permit Fee $
Contractor
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.
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.
jX"i'+. /�!+ a -�` Date /- / `
Siyno a of Applicant — Owner Contractor ❑ Agent ❑
OSHA permit is required for excavations xcavations over 5'0" deep and demolition or construct-
on of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
Occu P.
CONST.TYPC
ISCHOOLIFLOODIPARCELI
PD
I NO
I ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees, have been paid.
' *7 , /f
�DIREC�TO F PUBLIC WORKS
B�
PERMI EXPIRES Date
Receipt No.
WNITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION -AND PERMIT
I I! um, - A - a
ASSESSOR PARCEL NUMB
r
Z4?NING/
BUILDING PERMIT
OWNERTELEPHONE
wtL�S Gc�r�t YU14
- -
,SQA FT. PCC, BUILDING VALUATION
OWNER'S MAILING ADDRESS SS /� fi A
C aff lv r VleV ol.�.�
CONT ACTOR'5NAME
S V -1F
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ �` .!
ARCHITECT OR ENGINEER -
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 3. r V
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
lLZ�
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFZ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00 ea
TYPE OF WORK
New ❑ Addition[] Remodel UtilitiesI tallation❑ Other
I
Describe work: LLJ
'
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service eOOV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I •am licensed under provisions of Chapt. 9, Div. 3 of the Busines$
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, Or my employees with WflgeS as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.N) /20sgft
OR AODNS. ACC, BLDGS. ,
NEW CONSTR. TI.OUTLET 2,50 ea
NON-RESID .BRANCH CIRC ITS
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES' 5ALI20@30
AL9
FIXED . OR
EX. DCCUp. OUTLETS TS (RES(RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
g
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
[P 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.
�j 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 shal I be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that 1 have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in rise ence of the granting of this permit.
V
Date /
S' cureAcant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for cOvations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
° Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
occu P.
CONST.TYPL
ISCIIOOLIFLOOOIPARCELI
P11
I No,
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work Indic ed above for which
IREC PUB
B
P XPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
C ORKS
ate
Receipt No. A i% q 3 � J
WNITL-O.P.W., YELLOW LSsa R, PINK -INSPECTOR. TOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public 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. I (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:
NameL�
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supeerrv`iise,;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 Ty of Work
=SSS
Signed:
Property.0 ne
Social Secur ' Nu
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.
.^r^' -q. .r r''" �'" '`-r�Y��..''i�,'.. eri�:-9 •. ..i,.,....R�:`�:"r'k ;rj} °e�'yW.�r'a �c?.:��'*1.. �i _ }.
. "�. t ,z.� ^'_'"'+'►(Y iY^'': � '1% t./\..tJ..�,.,.dn...-..:vy-.^ir'rr.: �... �e •�."., .r,..ti.: .... �
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.r /
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 `�._] X
APPLICATION AND PERMIT c r //0
ASSES O PARCEL NUMBER
�. `'
Z NIN
BUILDING PERMIT
OWNR :
TELE'PHONE r
J
SO. FT. OCC. BUILDING VALUATION •'��
S"MAI AD (q/'ESS
NWN
ACTO NA
TELEPHONEACT
R'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
L ENCYE ��S 'M AI LING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS ti
/ /
Permit tee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF [A Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
non
TYPE OF WORK
New ❑ Addition ❑ % Remodel ❑ Uti litiesy❑ Installation❑,/'Other 19
Describe work: Csl ✓90 e4 (-t / ����/J%J4
+ (` , f
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
i
LESS
Main service 1000 AMP
10.00
Main service FA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW 1
I declare under penalty of perjury (check one): If
ElI 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
1, 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)
❑ 1, as the owner, am exclusively'contracting, with licensed contract-
ors. (Sec. 7044) -
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.(1I
OR ADDNS. ( ACC. BLDGS. )21/20sgft
NEW CONSTR. MULTIwOUTLET 2,50 ea
NON•RESID .BRA CH CIRC"' TO
/POWER APPARATUS e
(SINGLE OUTLET CIR. )
Ex. OCCup(200y0t
OUTLETS OR FIXTURES eAL030
FIXED APPLNS. OR
EX. OCCUp. OUTLETS (RESID.1 EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
g ,
Permit Fee $ 1) 1;
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ" any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor. Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked:
Contractor
J
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
Hood
3.00
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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
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.
��` ` �� �ap
X_ %_ i�.�_. _ .cr Date,
45ignafure•of Applicant- Owner Contractor ❑ A9ent ❑
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 $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 315,
occu P,
CONST.TYPE
SCHOOL
I FLOOD
PARCEL
PD
NO
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above y r which
/ DIREC7 OF PU L
BY�'��!
PkAM1T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
,
Receipt No. - !n
WHITE-D.P.W., YELLOW-ASeESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO
7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 COY ��
APPLICATION AND PERMIT
ASSES =A ELM ER
ZONIN I
BUILDING PERMIT
OWNER
T H NE
S0. FT. OCC. BUILDING VALUATION
O R' MAI ADD 1-55
Ono Alld
CO ACTOR' N AVE
TELEPHONE
CONTRACTO 'S MAILING ADDRESS
Fireplace
CONS CTION LENDERVNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDE 'S MAILING ADDRESS
Permit Fee
$
ARCHI ECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
LA ' 6 �
Permit fee
$
PLUMBING: PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00ea
TYPE OF WORK
New ❑ Addition Remodel ❑ Utilities ❑ Installatio❑ Other
Describe work:--(q0
, �_1 t:r 1 C
Permit Fee
$
Contractor
ELECTRICAC PERMIT
FiIing Fee 10.00
00V OR
Main service 100 AMP -OR SLESS
10.00
Main Service EA. ADD'L 100 AMP
2.50
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)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.EI
OR ADDNS. ACC. BLDGS. /x¢sgft
NEW CONSTR TI.OUTLET
NON.RESID .BRANCH CIRC ITS 2.50 ea
POWER APPARATUS &I I
SINGLE OUTLET CIR. I_
20@50tl
Ex. OCcup(OUTLETS OR FIXTURES AL0
EDALo30ao
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESI0.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $ MKC
WORKMEN'S COMPENSATION INSURANCE
I declar under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Ntice 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
FiIingFee 10.00
Heating
Cooling
g
Hood
3.00
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 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 conseq en of the granting of this permit.
Dat �/
er Contractor ❑ Agent ❑
Applicant — O�nheight.
An OSHA permit is required foxcavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories
Mobile Home Installation Fee $
Energy Inspection Fee $
, C
TOTAL PERMIT FEE J
oCCUP.
CONST.TYPEJ
SCHOOL
F.
PARCEL
PD
1 ND
1 ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work i c ed above f r which
DIRMOF PU
Y
P MIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W.. YELLOW-ASOC330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public 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. I (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. I plan to provide portions of this work, but I have hired the following -person
to coordinate, supervise, and provide the major. work:.
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated: .
Name Address Phone Type of Work
Signed:
Property Owne�k� /
Social S it er/
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.
= OK
0 =Not OK
= Not Ready
yable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / PV ft.
/ /"Nat. or/ P'L"ft./ /"LPG
7. Utility Clearance
Card -61 Date Card -131 Date
Card -61 Date Card -131 Date
Date MOBILEHOME 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
Card -131 Date Card -131 Date
Card -B1 Date Card -B1 Date'
Date
MISCELLANEOUS
ii S,CARPORTS,GARAGES, (Plans)OK except #'s
ui rements-Setbacks-Easements
!?!Foo mg's; Soils -Size -Depth -Spacing -Connectors -Steel
ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Card -B Date.- 'S? Card -B1 Date
Card -B Dat Z2 rd -B1 Date
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
Card -B1 Date Card -131 Date
Card -B1 Date Card -131 Date
= OK
0 = Not
- =Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks; -Easements -Flood -Slope k
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. •Depth
_ 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
5. Stemwalls, Main; Steel- Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Card -131 Date Card -B1 Date
Card -131 Date Card -B1 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -131 Date Card -131 Date
Card -Bi Date Card -131 Date
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -131 Date Card -131 Date
Card -131 Date Card -B1 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -131 Date Card -61 Date
Card -131 Date Card -B1 Date
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instid.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation throughout House
87. Glass Protection
88. Corrections from Previous Inpections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card -131 Date Card -131 Date
Card -B1 Date Card -B1 Date
Card -131 Date Card -B1 Date '
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
r-, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLIGATION•AND PERMIT
RMIT 140.
ASSESSOR PARCEL NUMBER
i Z.
ZONING
BUILDING PERMIT
OWNER
ter+ ).
iI e
TELEPHONE
/
� - S L l
SQ. FT. OCC. BUILDING VALUATION
EA,
„+
EDR
OWNER'S MAILING ADDRESS
,4 -7 S K (_Q o0fa:)VI LLE
CONTRACTOR'S NAME
UA 4
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS'
Penalty
$
BUILDING ADDRESS �{ j�
1\ (+ '�ul
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
OYRo0t LZ i5c
Solar or heat pump water heater
20,00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each pas water heater or vent
5.00
USE OF STRUCTURE
SF D� Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home JSFG W
0.00 ea
TYPE OF WORK
New ❑ Addition [X Remodel ❑ Utilities ❑ Installation❑ Other ❑
Descri be work: 02 1-: N .fl IS C K
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
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
1, as the owner, or my employees With wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCC UP.SI ,
OR ADDNS. ACC. BLDGS.=QSQ ft
NEW CONSTR TI.OUTLET 2,50 ea
NO N..ESID BRANCHCIRCUITS
(POWER APPARATUS e
SINGLE OUTLET CIR. )
Ex. OCcup(OUTLETS OR FIXTURES 20050@
eALe30
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
g
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declar 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.
(A I shall not employ any person in any manner so as to become subject
LI}' 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 10.00
Heating
Cooling
g
Hood
3.00
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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
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.
���
Signet of Applicant — OWner Contractor ❑ Agent ❑
An OSHA permit is required fore cavations over S'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ (o7,`7
Occup.
CONST.TY
scNooL
FLOOD
PARCEL
I PD
I NO
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
D) E T PUBLIC
-
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. I % Y `�
WHITE-D.P.W.. YELLOW-ASSL330R. P,NK-INSPECTOR. GOLDENROD -APPLICANT
f , � . :. , ... .... ..ti,.r. tir .y�� .n^'.�r'�..n� r��..✓''►:.�.;-.-.,.w., �4-::.„-• +.fey � ^ ..�...5:. �.. r�... � . .".+, ti .. ..
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
e \
7 COUNTY CENTER DRIVE - OR�,ILL'� Ck�IFORNIA 95965 -TELEPHONE: 916/538-7541
I
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER . 19MES UJIM JUASN A. P. No. ��" i4-�7�-
Proposed BuildinglusebpF_N SEC K Building Inspector `0�- Date 7`G'��
At time of permit application, I was advised the following data must be submitted prior to permit processing
and1or issuance: DATE RECEIVED APPROVED
1. All items.have been submitted.
��3Complete
plans in duplicate./tripf-rCat , signed y preparer of plans.
U'` plans in duplicate./trip-l+ signed b preparer of plans.
4., Complete engineers and calcs, wl wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . ,
9. Letter of signature authorization.
1'0. Sanitation approval from USG i� e Health Dept..
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. 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 Data. . . . . . . . . .
Pre-Inspec. request to (Date)
17. Pre -Inspection for Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21. Engineered trusses 'in duplicate (required prior to plan check).
22.
When you issue the permit, process as follows: Mail to owner, Mail to contractor.
Telephone IiI"i 44�-5 (V and hold for pickup ant f'6Wbffice, Deliver w/inspector.
Other r
• App
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submittedpr' r top mit 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---jnail—counter by date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by Date 74-- Plans approved by Date
Sets of plans on Id in ' File cabinet AP folder V
Copy—DPW
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Ilion APO
Plan Approved for: Sewage Disposal Water Supply
Hold final for: Water Supply
Final clearance O.R. for: Water Supply
Clear anc for �- - ^:^e Other ✓ / =-c-- /C ,
ti - � "1.4—, 10-7-- o
t -
NOTE
Sanitarian Mate
r
COUNTY OF BUTTE -'Department of Public 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)/ ,v S
2. I (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. I plan to provide portions of this work, but,I have hired the following person
to coordinate, supervise, and provide the major work:
Name n ,
Address VL U v— City
Phone Contractor`s 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 Typy hof Work
_ g� _ - -
Signed:
Property. Owner
Social Securit ber `�`�„
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.
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