HomeMy WebLinkAbout068-160-092Ralph Brower
2;Aq%1 Oro Quincy Hwy, Oroville
1cNVr: Everett L. Putman, Yuba City
Permit #4898-78B,P,E(new private
swimming pool)
68-16-92 3970-89B,E
OPENSHAW, Gene
Contr:, Carver & Walburg
2671 Oro Quincy, Orovil
(remodel SF).
z
4898-78B,P,E
10ERMIT NO.
PERMIT EXPIRES
Ralph Brower
OWNER -
CONTR. Everett L. Putman, Yuba City
I LOCATION (A.P. 34-16-92
�7l
-?6 Oro Quincy Hwy, Oroville
-
i.
r
r'
• z
f t
Y
i�
Temp. Power Pole
Called PG&E
Tem/Elec. Serv.
Called PG&E
T/e/mp. Gas Serv.
Called PG&E
/FINALED
OB —7
!' %
(Dat
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg. )
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwall
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
p
Footin s
Prov. for phsically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping &
Tem .Gas
est
Slab j
Final
anitation
Patio I
FIREPLACE
Final
Footings I
Footing
ELECTRICAL
Masonry Wails j
Throat
Rough -5
'rca-7 -7
Reinf. Steel
Final
Fixtures q
- ">- -- %
Bond Beam
FIRE SPRINKLERS
Motors
IQ
Framing
Test
Water Htr. 'c
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot. , ? `)-
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES ---------------
Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
E ME INSTALLATIO - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE 3Z/fZ 7,15 REMARKS OR CORRECTIbNS
3-21
5
,4P.gc,iv aP v:�, 5 IVO 1
�
C,fl n� �.. r� � Qg it..�' � �,.1..�ta i� dl ��c�- � ��.c� :'� � �� � i. ki-��✓> �%�r✓
• � �'��j(1/�� Ge=-' Gita e1�:{3 i" �i�v,tg OQ:iCd rn14 T'
�- 27 -? P jJG OpuV/� I�,.Gs�e•� ye�tsp lCEQa1?-!S 7;w &') CAI VAZIAA,--,
C41. L E 0 K-6' t FI Ivt'H L-'
AP��06 q -Z' gE Pte-
(NOTE: An entry must be made on this form each time you visit the job site.)
April 24, 1979
Dept. Public Works,
#7 County Center Dr.
-Oroville, Calif. 95965
Mr. Dale McHenry
RE: Final inspection of swimming pool
Owner, Ralph Brower
2671.Quincy Rd., Oroville, Ca.
Dear Sirs:
The steel & bonding of this
swimming pool was done acording to my
structual plan for pools..
t
May i have a final inspection
at this time.
�Yours
truly
Everett L. Putman
CUSTOM HOMES
EVERETT L. PUTMAN
SWIMMING POOLS
*
*
REMODELING
General Contractor
CONSTRUCTION
*
Lic. No. 124173 B1 -C53 -C -55-C61
COMMERCIAL
REPAIRS
1140 Bryn Mawr Dr.
Yuba City, Calif. 95991
QUALITY
Phone (916) 673-9766
DEPENDABILITY
r ,
April 24, 1979
Dept. Public Works,
#7 County Center Dr.
-Oroville, Calif. 95965
Mr. Dale McHenry
RE: Final inspection of swimming pool
Owner, Ralph Brower
2671.Quincy Rd., Oroville, Ca.
Dear Sirs:
The steel & bonding of this
swimming pool was done acording to my
structual plan for pools..
t
May i have a final inspection
at this time.
�Yours
truly
Everett L. Putman
I
91WPICI�wltg,1Ii10i161£Pl,&
tJv
•�;M`��1 �IIU�a a0 'ld30
e
f
f
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
n Telephone: 534-4541
APPLICATION AND PERMIT
out IUI ILe ICpIC5CIl tcttlVes ul the county of tsutte to enter upon the
above-mentioned property for inspection purposes.
4
Date
Signature/f Pa *tee oy Agent
Receipt No. ` Y
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 0 UBLIC WORKS
BY Date 2-2-1 7e
Building permit expires Date —r3'I .7
BUILDING
Owner IQfi-t__PAL e0UJiffe—
SO. FT. OCC. BUILDING VALUATION
Mailing Address
Q��(,� j �J�%r✓
Telephone No.
Contractor jtuneEir P tit f} Aj
Mailing Address //� 6RY,(jIVA-A)R. Imo,
Fireplace
Total Valuation
/Tr /y��G/
�pl/b9-e,itom /oho
Permit Fee
Building Address S 020VILLE f"icy ),(WY
Planng Fee&/or Penalty
ee
Permit Fee
Permit
A
�0. s 3 we mF 6
PLUMBING No. @ FEE
V�21
PERMIT FILING FEE $3.00 X00
Each Trap 1.50
(1��pjj -Y fA COJCQuf��
Repair drainage or vent piping 1.50
.
A. P. No. 3q -l& & % Zoning 8 Planning
Water piping 1.50 1,5_0
Each gas water heater or vent 1.50
Fzies
SaOo FireDept.
FireZone Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map 60' R/W
Improv nts
Each additional outlet .30
Building sewer 5.00
Parcel Apoval
Plans Approval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER
permit Fee $ 41 1570
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 3 foo
600V OR LE
Main service 100 AMP ORSLESS 5.00
Single Family ❑ Duplex ❑ Mobil Home ❑ Others
Main service EA. ADD -L 100 AMP 2.50
�I #77J/" _M J1/V' A 1 � i POOL—
tj ( /V
L
Main service OVER eooV 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW
OR ADDNST 1k ADWECCLBLOGS.LING CCUP. S� 20sgft
CONTRACTORS LICENSE LAW
1 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 CIR T
NON -REBID � BRANCH CIRCUITS 2.50ea
NEW CONSTR (POWER APPARATUS .&
NON.RESID. SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTIIRES 5 L 251
,2
Ex. Occup.(OUTLETSP(RESIDIREA) 2.00
Temporary service 10.00
License No Classification
Mobile Home Facilities 15.00
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
1,2s
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No.1 @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$J7
out IUI ILe ICpIC5CIl tcttlVes ul the county of tsutte to enter upon the
above-mentioned property for inspection purposes.
4
Date
Signature/f Pa *tee oy Agent
Receipt No. ` Y
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 0 UBLIC WORKS
BY Date 2-2-1 7e
Building permit expires Date —r3'I .7
NOTE:—All • ►Materials & Workmanship Shall Be
'Accordance with Recognized Good Practices i
' rescribed for the Specified use in
('` J ' • nifo Building, um ie9 �. Machanica! Codes
the ational Electrical Code.
- • Apo : ; •`
Septic syst �boc_
. .. em and location ofd
•
to be as
Butte County Health ° per _-----w••--�• �-•- �'�. .. �.w-..
Rev
quirements. - •T e- 1-2
_ chis set of plans and s
i' pecificationa MUST 'be
y
POOL ! 3 o cept on the job at all tines and..it is'unlawful to
make any changes or alf rations'on same without
3 written permisson from the Department of. Public
Works, County of Butte, -
R T' tv a. I.4.. -
,.
Thej. S tback shall lie 5 ft. from the
• side property line and 50 ft. `from the i
centerline of the road, permitting c maxi- ,
mum of a 2 ft. eave overhang but entirely
- out of all easements.
BUTTE COUNTY
BUILDING -DEPARTMENT
,. APPROVED
A
4A
A
• RESIDENTIAL
„
68-16-92 3970-89B,E
OPENSHAW, Gene
Contr: Carver & Walburg
2671 Oro Quincy, Oroville
(remodel SF)
JOS FINALE
Signature
f
S
JOS FINALE
Signature
J=UK
a= Not OFC'
= Not Readyable 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-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L"ft.
/ P'Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
Date Card B-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-Beams-Rftrs-Coonectors
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-Pane Iboards- 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
V OK
O=Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL .($ingle & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel- Bloc kouts-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.Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date UMBING Permit OK except #'s
Water Htr.; Vent -Access -Combustion Air -Baffle
Water Pipe; Test & Anchor -Nail Protection
D.W.V.; Test -Fittings & Anchor -Nail Protection
Shower Pan; Test, First Floor -Tub Access
Test Tub & Shower, Second Floor -Tub Access
Gas Pipe; Size & Anchors
Date Card B71 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL Permit OK except #'s
F ure & Transformer Clearance -Ins. Protection
Elg . Receptacles Spacing -Lights & Switches at Doors
Si Boxes & No. of Conductors -Stapled
RMei Installed Close to Edge of Studs & C.J.
quip. Ground made up w/Mech. Fastners-Bond Gas & Water
- 1-2-4 Nance Circuts in Kitchen & Conductor Size/GFI
28. S_ ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or At
29 Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 0 Yes 0 No
_30-S-er7vice-Riser Conductors & Ground -Main Disconnect
Equip. Clearances Panels-Motors-Mech. Equip.
3Z--Obthes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
4. A.C. Ducts Insulation & Support
5. Vent Fan; Exhaust above insulation
6. Condensate Drain & Overflow; Size & Grade
7. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
8. Attic Access & Platform if Furnance in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
3 ils roper Material & Anchors
4 . a Studs -Nailing, Spacing & Bracing -Plates -Sound
Bea g Walls over Girders & Floor Nailing
4 raft Stop in Walls (rat proof)
tops; Furred Ceilings -Stairs -Chases -Tub
eaders & Beam -Size & Bearing
Date F AMING (Continued)
Ae'Aan.gers-Post Caps -Anchors -Connectors
Ing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng.
eplace Ties or Type A Flue -Fireplace Throat clearance
-49-AT17c7\ccess; Size & Romex Protection -Draft Stop -Ins. Baffles
m Windows or Exiting Doors -Sill Hgt. & Dimensions
JIT GaSage Fire Protection Framing
Pro rty Line Firewall & Openings
xt. Doors -One T -Check Garage -3rd Story, 2 Exits
S; Width -Headroom -Rise -Run -Landing -Fire Protection
ply oil on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing Veneer
esh-Drip Screed -Fd. Vents-Underflr. Access
GI ing Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
Q' 59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date Card B-1 - Date Card B-1
Date Card B-1 Date Card B-1
Date FINA Plans OK except #'s
ExVSteps-Door & Sidelight Protection -Landings
moke Detector
urnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
A4-156-dr9orn Exiting
F.I. & Bath Fixtures & Tub Access -Spa
Elec. Trim & Subpanel; Breaker Sizes & Labels
_ 2• 6talrs & Rails
eplace or Stove; Clearances -Hearth
.69r�utlets at Wood Panel; Int. & Ext.
.7Z.-KTfFzt-& Appliance; Grnd.-Air Gap -Cooking Clearance
7t �Iec�Outlets & Receptacles at Kit. Counter
age Fire Door; Swing -Landing -Closer
Duct in.Garage-Damper
i4-Wri Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
ue-gib Eiec:-& Mech. Equip. Listed for Location
76 c.•Receptacles in Garage; (G.F.1.)-Romex Protection
7 sulation- Foam- Looked in Attic Yes
7 d'Rails & Deck Construction -Post Caps
dn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor , ❑ Yes
80. Following instld.; Drive es 0 No; Walks 0 Yes
Planters 0 Yes 0 No
_81 SWEce; Brown -Finish
_62,_A.0 omit; Disconnect, Electrical, Plumbing
ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
,811�ter_Well; Disconnect, Electrical, Plumbing
xterior Elec. Trim; G.F.I. Receptacle -Underground
a . entilation Throughout House
assn Protection
4orrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
0! Water & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
Date Card B-1 /�7 - Date Card B -1 -
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
J -
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-750a,
16/538-7
APPLICATION AND ,PERMIT C/
ASSESSOR F�.4 CEL N BE=
(/'�--
Z NG
�G. ` 2
BUILDING PERMIT
OWNER �
OWNcP*Ij���' I ING
RREEjjS/S^,
TELEPHONE
BUIL ING VALUATION
/A�'pQ,,pp
f�� (//jj/1/
"O.FOCC.
CO ACTO 'S NAME
7,yL�EP HON J^`
U
CONT ACTOR'S MAILING ADDRESS
�OWt,c--- (a/Av
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
$
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
SIX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S GT W
O.00e
T1jtPE OF WORK
New ❑ Addition ❑ Rerrode�g Utilities[] Install aeon ❑ Other*
Describe work: —l�rF C Aw �
cf-
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
DR LESS
Main service 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.141J`�J sp
.1 / 3 e Classification �e/YLQ2�
❑ 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.a)
OR ACDNS. `ACC, BLDGS.
, /zQsgft
NEW CONSTR. MULTI -OUTLET
NON•RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS e
SINGLE OUTLET CIR. )
ExOccu p UTLETS OR FIXTURES
. o
.2z0050
ALO 30
Ex. OCCUp. OUTLETS ((RESID,)FIXED APPLNS. REA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
1 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 PERMIT
Filing Fee 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 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 consequence of the granting of this permit.
X Date
Signature of Applicant — caner ❑ Contractor PJ 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 $
Energy Inspection Fee $
occ
CONST TYPE
-
TOTAL FEE $ (_J'�
HAz
CUA
"—
PARK
_
SCHL
EE
_
PAR
PD
HD
.�
Iss
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
I BY
P MIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
�j Q
/I- Z'11 r 7-6
Receipt No. JiI 3 )
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
OWNER
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDIN� ,DIVISION
7 COUNTY CENTER DRIVE - ORO�1!Ct1W-t 'LIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATINO-ATA SHEET
� Permit No.
PJNo.
Proposed Building Use(! AZAG& P -4 ---MD') Building Inspector VM1 Date/1-2;?
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. Hazardous Material Form ....................................:.... .
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurande' """"'.......... .
23. Owner -Builder Verification (Given to owner o, Mail to owner ❑) .... .
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone 5aand hold for pickup at office. Deliver w/inspector.
Other
Appl ican
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance
1. Index permit for above items No.
2. Additional items required:
Dat
(Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by
Contractor, designer, owner, was advised of above required data by—phone —Mai I—counter. by
Plans checked b,
Copy—DPW
Date Plans approved by
Sets of plans on hold in . File cabinet AP folder
_. date
_ date
Date _� o
11
I
fur.,
'Ap
CL
i
Ilrb
•t. I ilk' I - - - •I -1,. moi. Ir, _, ;r';pi wy; �) �. ' n + �,ES` 1,
�i': p
I• Sf t. >~ .�T—,' �' •• 1 .��. \ i j Fc 3 "�'i '�1 1 ti t
a � 'd o •! �: C r.' 1 1 i ':K x
Y
i• f i_ ! +
IkN
• I I '
Co
.S•� i�3 Q
Qcz70
7:5,