HomeMy WebLinkAbout068-200-02168-20-21 ,a
92-1021 BPEM PUGH, -W. R. - 1231-70B i
THOMSON, Stephen 1125-70E
5 Valinda Cr, Oroville 0 - OP
cont: Lawson & Sparks Cons' -18-2 4
addition/sf #5 Valinda Circle, Oro ille j
(new single family)
0
f
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RESIDENTIAL
68-20-21 92-1021 BPEM
THOMSON, Stephen
5 Valinda Cr, Oroville
cont: Lawson & Sparks Const
addition/sf
JOB FINALE
Signature
I
J=OK
O=Not OK
Not Applicable
Not Ready MOBILE HOMES
=
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
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-Panelboards-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 3-1
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: / P L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. 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 a
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-Panelboards-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 3-1
✓=OK
O=Not OK
Not =
Not Ready RESIDENTIAL
RESIDENTIAL (Single
Date UNDE21FLOORO(Plans) OK except #'s Date
o ' '•g -Setbacks -Easements -Flood -Slope
_Vftg., Main; Soils-Elec. Grnd.-jZ(:�,Ftg. Depth
3. Ftg., Garage: Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
temwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
lef-F:ro.,�nra�taa�
.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; Underground
-L3 -P'- ums & Ducts; Clearance -Material -Support -Ins.
Gir rs-Sills-Anchor Bolts -Joists -Vents -Cripples
-+e Access & Ventilation
16. Insulation
Dat —.ard B- Date Card B-1
Date-( Lft/Card B- Date Card B-1
Date PLUMBING (Permit),OK except 4's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
1M. Water Pipe: Test & Anchor -Nail Protection ------------
Test-Fittings
------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
Date- - -Card B_1 ---- Date - Card B1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
Fi re & Transformer Clearance -Ins. Protection
----------- --- - -----------------
----------- ---- ---- -------
EI Receptacles Spacing -Lights & Switches at Doors
ySiy�_Boxes & No. of Conductors-Stapled
_
l25 R x Installed Close to Edge of Studs & C.J.
--------
--------------- ----------led Close
to ---f Stud---C.---------------------
Equip. Ground made up w/Meeh. Fastners-Bond Gas & Water
--- -- ----------------------
-------------------------------------------------------
22-2-Apptiance Circuts in Kitchen & Conductor Size/GFI
-------------- -- ----------------------------------
----------------
eed Wire Sizer r ga. Cu or AI-A.C. Wire Size ! ! ga.
Cu or Al
--------------------------------------Ra . -
------------ -------g --------------- ----
7 a. Cu or AI -Oven Circ. / / a. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
--------------------------- ------------------------------------------------
rvice-Riser nductors & Ground -Main Disconnect
-------------------------- ---------------------- ------------ -----------------
p. Clearances Panels -Motors -Meth. Equip.
Clothes Closet Light -Shower Light -Spa Light
------------ -------------------------------------------
-----------------------
33. — - - - Smoke Detector
----------- -- ----- ------ ---- - ---- ------ -- ------------------------------------
Date Card B -t Date Card -B- 1
---------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
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.-Furnance_Vent: Access_Comb_Air_Return-Air Vent --1-1-5 out -let
-38. -Attic -Access-&- Platform if Furnance in Attic
-----------------------------------------------------------------------
Card
----- - - -- --- --- ------------------------- ----------- -
Date - - Card B_1 Date Card B-1
----------B-
----------------- -------------
Date Card B-1 Date Card B-1
Date FRA '(Plans) OK except #'s
9. Sils, Proper Material & Anchors
-------------- --- ---------------------------------------------------------------
II tuds-Nailing. Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
---------- - ------------------------------------------------
- Draft Stop in Walls (rat proof)
...........
"'----------------------------------- -- ------ --------------------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
--- ------ ---------------------i:
44 Headers & Beam -Size & Bearing
& Duplex)
FRAMING (Continued
Hddngers-Post Caps -Anchors -Connectors
- Csi ing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
_ 4-; F— ptave Ties or Type A Flue -Fireplace Throat clearance
&4a -'Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
. Windows or Exiting Doors -Sill Hqt. & Dimensions
56:-19mm7e-Fire Protection Framing
tine Firewall & Openings
------------------------- -
_ 3' -Check Garage -3rd Story, 2 Exits
------ ------ __ room -Rise -Run -Landing -Fire Protection
----------- ywood on Roof Overhang -Attic Vents -Rafter Outriggers
-&-Tiding- Nailing Veneer
------------------------
_ _ ,'��y - Screed -Fd. Vents-Underflr. Access
_ ri;• ._Glazing Area -Glass Protection -Skylights -Plastic
58. Sh ir Walls; Nailing -Bolts
nsulation-Walls-Ceilinas
60. Infiltration -Walls -Windows
Date Card B-1 Date _ Card B-1
Dat Card B-1 / Date Card B-1
Date FINA Plans) OK except #'s
- - E>>xt.��Steps-Door &Sidelight Protection -Landings
6e-5moke Detector
-------------------- ----- -
63. Fu ce: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meeh. Protection
- ----- -- 64-----r m Exiting -- -
615- F.I &Bath Fixtures & Tub Access -Spa
66. rim & Subpanel: Breaker Sizes & Labels
--------- ----
�6�"Stama Ha is =-
-----
---------------------`------. —
arances-Hearth
Outlets at Wood Panel: Int. Ext.
_-------------
- -- 7 ix . pp i ce; Grnd.-Air Gap -Cooking Clearance
7--- eptacles at Kit. Counter
---------
-
- _ Swing -Landing -Closer -
1<2-11-6 ^ �^ Damper
------- ---------------l.---------------
'' � _:..e:a„rance-Comb. Air-Connector-P.R.V.
In Garage: Above Floor -Meth. Protection
------------ -------------------- -
7 isted for Location
----------------------------------------
-. c es rage: (G.F.I.)-Romex Protection
-------------- ecept
-----
ulation-Foam-Looked in Attic ❑ Yes
--------------- ----------------------------- -- -
UeCK Cu6struction -Post Caps
7 Vents & Crawl Hole Door -Drainage & Wood -Earth
--------Clearance Looked -under Floor ❑ Yes
---------------------------------- -
!Zwing in e ❑ Yes ❑ No: Walks ❑ Yes ❑ No:
Planters ❑ Yes ❑ No
- --_- rown_Fimsh ------
8 e�hElectrical, Plumbing
8 ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
I. Electrical, Plumbing
x or Elec. Trim; G.F.I. Receptacle -Underground
------------------ ---- --------
Throughout
- - Throughout House
- ----- - ----- - - ---- ------------
la rotection
orr_ections from Previous Inspections -- - --
8 ged; Gas -Electric
-- - - 6artrrected-C/O to Grade -HD Approval —
9 Energy Compliance Certificate -Other Certificates��---
Dat �/ ward B-1 i Date - Card B_1_-
- - ~ ---- -f --
-Date--.. Card B-1 _ Date ---Card-B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
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
-T /-/ D .S0 SZ_1aZl
OWNER PERMIT NO.
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.
� id K S r •:_ �i
Date < / 21 Inspector
REV 11/91 , /
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
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
OWNER PERMIT NO.
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.
iv '� l'D �.% ✓ d '� iA r 1, r
i
74
Date el -L— Inspector
REV 11/91
ENERGY CERTIFICATION
alu_
v0CA ` A.F.
ROOF
MATERIAL
THICKNESS
EXTERIOR WALL
BRAND NAME
THERMAL RES.
MATERIAL Fiberglass BRAND \AME Certineed
THICKNFSS . THERMAL RES. 43
CEILING
BATT OR BLANKET TYPE—FIBERGLASS BRAND NAME Certineed
THICKNESS THERMAL RES.
LOOSE FILL INSULSAFE III BRAND NAME CERTAINTEED
THICKNESS ,�Z �, THERMAL RES.
FLOOR—ELEVATED
MATERIAL Fiberglass
THICKNESS
FLOOR—SLAB
INTERIOR WALL
MATERIAL Fiberglass
THICKNESS
BRAND NAME Certineed
THERMAL RES. L�
BRAND NAME Certineed,
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 IND.INC%dba SHASTA INSULATION
LIC.#650722
A/ 02 /91?
Ihereby certifv 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 CON V OWNER DATE .
This certificate must be on file with the Rri l iii ry mmnt _ n�4 nr t„ F4 nc,,
5,2 --/Os/
600-.2C)- z/
Worm Loads for bdi-LdM Beams
24F -V4
Douglas Fir "
C`
13'/t •
315
1614
1198
'
775
Spen(kretl
Floor BeGMS
,tet t
S.
10
12
14 16 18 20 22 24 26 28 30 32 34 36 38 40
Fb--2.400 psi
31b x 6
366
188
109
— — — — — — — — —
Fvm165 psi
1'/t
IIS
366
212
133 —
6-1.800.000 psi
9
9S2
633
366
_—_„—
231 154 109
DF --1.0
101/1
1155
875
582
366 245 172 126—
T—Wection Limit='/Mo
2161
112
1031
825
547 366 251 108 141 109 — — -- —
13'/t •
315
1614
1198
952
775
521
366
267
201
154
122.
—-
15
1875
1315
1086
.897
115
502
366
275
•212
161
133
109
—
161/1
2161
1565
1226
1008
856
669
467.
366
282
_222._118
_118
144
119
—
16
2475
1168
1375
1125
952
825
633 '
475
366
288
231
188
I S4
129
109
--
—
19'h
2822,
-19.86 -
1.532
1247
1051
909
792
604
466
366
298
238
196
164
138
117
101
21
_
3201{
2221
�
1699
1315
1155
996
87S
755
562
4S7
366
298
245
205
172
147
126
221/t
3640
2475
1875
1509
1263
1086
9S2
848
715
563
450
366
302
2$2
212
180
154
24
4125
2750
2063
1650
1375
1179
1031
917
811
683
$47
444
366
305
257
219
188
3'/16s6
403
206
119
—
—-
7'/:
787
403
233
147
--
—
as
--
-•-
—
—
=
—
—
—
—
9
1047
696
403
254_-
170
119
—
—-
101/:
1271
963
640
_-_
403
_
270
190
138
104
—
--
—
-
--
—
--
---
_ .w
12
1513
_1134
908
601.
403
283
206
ISS
119
—
—
—
13,b 1716.
jll7
1041
852
574
403
294
221
170
134
107
---
—
—
is
2063
1513
1194
986
787
553
403
303
233
183
141
119-
16'/t
2317 i
1721
1349
1109
942
735
536
403
310
244
195
1159
131
109
—
•--
18
2723
1945
1513
1238
1047
908
696
523
403
317
254
206
170
142
119
101
—
19!/1
310S
1685
1372
1157
1000
871
665
512
403
323
262
216.
180
151
119
Ill
21
$529
_2185.
2443
1868
1513
1271
1095
963
822
640
503
403
318
W403
270
225
190
161
138
22' 1
.4004
2723.
2063
1660
1389
1194
1047
932
780
619_495
_
332
277
233
198
110
24
4538
3025
2269
1815
1513
1296
1134
1008
682
746
601
489
403
336
283
241
206
5'/6 x4
401
308
178
112
—
—.
- -
*Depending on the supply of raw material. VN Industrial
Grade Redi-Lams may be produced as 24F -V5, mixed
species lay up, with no loss of structural strength.
2' d _SNS 'Wad -15d 9S : ZG1 00, 22 d3S
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
/ 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
gz �Ozl
ASSESSOR PARCEL NUMBER
068-200-021
ZON.ING
A R
BUILDING PERMIT
OWNER SQ. FT. OCC. BUILDING VALUATION
R. STEPHEN 79OMSON
OWNER'S MAILING ADDRESS 568 R 30,672
5 VaLINDA CIR OROVILLE
CONTRACTOR'S NAME
LAWSON & SPARKS CONST
CONTRACTOR'S MAILING ADDRESS
P.O. BOX 782 OROVILLE
Fireplace
CONSTRUCTION LENDER
OWNER
UNKNOWN
Total Valuation $
Filing Fee $ 15.00
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 $
Bu1L51 VaLINDAG ADORES s CIR OROVILLE
Permit tee
PLUMBING PERMIT FIIingFee 15.00
Each Trap 2 5.00 10.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.o0 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 15.001 15.00
Mobile Home I S I G JW I @ 15.00
TYPE OF WORK
New ❑ Addition ® Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: ADD 568 SQ FR LIVING SPACE _
Permit Fee $ 47.00
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
1
Main service R SS
200A OR LESS 1. 18.50
Main service 200A TO IOOOA) 37.50
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 an /my license is in full force and effect.
License No. 6 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.N\ 3.64sq.ft. 10.90
OR ACDNS. 1 ACC. BLDGS. I
NEW CONSTR. MULTI—OUTLET
NON-RESIO BRANCH CIRC ITS @ 5.00
POWER APPARATUS &)
SINGLE OUTLET CIR.
EX. OCCUp(OUTLETS OR FIXTURES 20 764
FIXED APLNS.
Ex. QCCUp. OUTLETS (RESID 1REA.� 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. bVirin g '15.00
Permit Fee $ 34.90
—
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 PERMIT FiIirgFee 1 15.00
Heating EXTEND 9.00
Cooling
g
Hood 6.50
Ventilation
permit Fee $ 2
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 id County in consequence f the gr mg of this permit.
X/ Date �
Signatur of Applicant — Own ' Contractor Agent ❑
An OSHA permit is required for excavations over 'Qj Je p n demolition or construct-
ion of structures over 3 stories in height. If /%/
Mobile Home Installation Fee $
Energy Inspection Fee $ 40.00
OCC
CONST TYPE
TOTAL FEE 554.40
P FOOD
DF
P�R,6t
PD
H
Iss
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated abo for which fees have been paid.
D�IEC R OF . C WORKS
p
By Date -?�I—
PERMIT EXPIRE ate
i
Receipt No. 110398 — 0-010
WNITC-D.P.W., YELLOW -ASSESSOR, PINK -INS CTOR. G E D- LICANT
S �". . :ate 1 ��iv:='.` �i"''ji., . �.. , Y _, r.� , , k�"fv` ' _' „^ _ w'�'aer•c�_. .
r 1.
e • , °n
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLEl�CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERNITAPPLIC.g.ATION DATA SHEET
ke
/Permit No.OWNER � n7/0 W50 4 A. P. No.
Proposed Building Use ( Building Inspector Date 7
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 .........
Statement of Intent for Non-Heated and AC Buildings ..............
gineered truss details and layout in duplicate (required prior to plan check)
--Mobile
home installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid.......................................
12. Park fes paid
r e) hool Ditrict fees paid .............. – Z
14. Sanitation approval from 0 LJ ')I(? Health Department _g
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: ...... c
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 Insurance ..................
23. Owner-Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization...................................
26.
27.
When you issue theermit, process as follows: Mail o owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Applicant ate
Copy of Hdz-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 iss an e: (Circle new item not checked above).
1. Index permit for above items-No.—S �i
2. Additional items required:
frac esigner, owner, was advised of above required data by_phone___jnail._cou er byl-Ull—date 2
Contractor, designer, owner, was advised of above required data by—phone—mall—conter by date
Plans checked by Date Plans approved by Date
Sets of plane hold it Binet AP folder
Copy—DPW �y`` INJ
TO
FROM:
SUBJECT:
Buildina Department
Environmental Health
Sanitation.Clearance
J
Aomlo
/2l
owner Location AP#
Plan Approved for:
Hold final for:
Sewaqe Disposal X
Final clearance O.K. for: acW i-�,rm 0 bed room cLnd
a -n o
Clearance for bedroom mobile home. Other
NOTE * * *
Water Supply
Water Supply
Water Supply
Sanitarian Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville. California 95965 - Telephone: 916.'538-7541
APPLICATION,AND PERMIT
A SSESSOj P= RCEL NUMBER
tJO 40 1
ZONING
BUILDING PERMIT
OW R
�T
TELEPHON
/
SO. FT. OCC. BUILDING VALUATION
V
OWNER'S MAI LI GESS
S 4 J v i e-QS'Q
CO//N��TRR�A99CT�OIRI'/S NAME TELEPHO�
CON R�jCT R'S MAILING ADDRESS p
I , X /,?-- $�Z elooll-b �j �S / bs
Fireplace
ONSTRUCTION LENDER
® l AMIE le__
UNKNOWN
Total Valuation is
Filing Fee $ 15,00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 4 If,S
Energy Plan Checking Fee $ 140.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS n C
Permit fee $ r `
PLUMBING PERMIT Filing Fee 15.00
Each Trap I I5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME Q
L A1C �C/` �s
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SFX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S G W @ 15.00
TYPE OF WORK
New ❑ Addition K Rie-model X Utilities ❑ Installation El Other ❑
Describe work: /fPgh �� hg�� 1-111%(/4 501115-
Permit Fee $ �L-
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 600V OR LESS 18.50
200A OR LESS
Main service 20CA TO 1000A1 37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
` 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full rce and effect.
License Ao. ✓ 6 �� 6 Classification
E]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.n 3.60 sq.ft. �,
OR ADDNS. ACC. BLDGS. 90
NEW CONSTR. ULTI-OUTLET @ 5 00
NON.RESID BRANCH CIRC ITS
POWER APPARATU
S USe`
(SINGLE OUTLET CIR. /
20 764
Ex. Occup( OUTLETS OR FIXTURE S\\ R AL C@ 464
FIXED APPLNS,
Ex. OCCup. OUTLETS (RESID )REA.) I 3.00
Temporary service 15.00
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.
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 PERMIT Filing Fee 15.00
Heating zr tah r
Cooling
g
Hood 6.501 1
Ventilation
permit Fee $ 0;110C
L 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 consequenc of the gra ing of this permit.
X Date A/ -6 9�
Signature of Applicant — OWne Conrracto Agent ❑
An OSHApermit 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 $ .Q
OCC
CONST TYPE
TOTAL FEE $ ,
rlAz
OFEES
IMP
FLOOD
CDF
PARCEL PO
HO
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.
DIRECTOR OF PUBLIC WORKS
By DatePERMIT EXPIRES Date
Receipt No.
WNITC-D.P.W., YELLOW-A38[t130 R, PINK -INSPECTOR. GOLDENROD -APPLICANT
APPI;Qtrlf
fButte County
I Environmental Health'
U0%., Date
�Iigg
` 1
�EXX;
. co .
s
1
1
�l
�1
Environment
a! He
aith
5v, APR ® 6 199;
Orovill
e, Calitorn`� .
�k`6r El-�4T- vcrCG
3 v FgL-4I.,
ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET
PACKAGE "A" (Additions)
I , .
Owner
Permit # /0Z / Floor Area
FOR M 7
Climate Zone
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.
APPLIES TO NEW AREA
CEILING
WALL
FLOOR
SLAB
GLAZING
SHADING
SOUTH - OPTIMUM OVERHANG
ZONE 11
R-30
R-11
R-11
R-7
U-.65 (Dual)
or .36 Shading Coefficient
WEST - .36 Shading Coefficient
LOOSE FILL INSULATION (Density)
NE 16
-38
R 1
R- 9
R 7`
-.E5 (Dual)
INFILTRATION CONTROL (Weatherstrip..doors, certified windows, caulking)
VALOR uueR.T�(�'on�ei�j6�
DUCTS PER UNIFORM`MECHANICAL CODE - Ch. 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING
NEW HEATING, VENTILATING,'AIR CONDITIONING AND HOT WAT��SYSTEMS IN
CONJUNCTION WITH AN ADDITION SHALL BE INJF N ON BACK
OF THIS SHEET. �N
OTHER � � �V���I�� D�PA
12/85
*1
HEATING. VENTILATING. AIR CONDITIONING SYSTEM
(A) Heating 1
❑
Central Gas Furnace
%
(brand and model'number)
SE
Btu/hr
(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-iotercept
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)
:J
U
❑ *2
DOMESTIC WATER -SYSTEM
(A) Gas Only ' Gallons
(brand and model number) (tank size)
Heat Pump w/Electric Backup _
(brand and model number)
Gallons
(tank size)
Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
(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
charts (form #4) or other approved methods, section 2-5352(8), 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 panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
W-o,,,T,itle 24, Part 2, Chapter 2-53 of the California Administration Code.
: sig' 7
� I ,
L ' AIG'AT. OF BUILDING DESI R OR APPLICANT
.`_...�wA�IM�'P�''�*�"�'�3#r•...:�"'t�,:;�,y�;ti'Y,t���-�T�'n-+.y.�;,,,�r,n.c....w�+n'>^•,r•—�,:,irr�""�-..-�^'ea�..'c+; Y.+,y..
F,
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One ,Form per,Building)
A.P. Number p.Building Department No.
School District nip P /oO W City 1-1 County r-" Jurisdiction
Property Owner 'f (i V/C h /��•ti1 sp y!
Project Location/Address,
Subdivision Lot Number
Residential Development: a
COUNTYOFBU?TE Sq. Footage �J'
BUILDING DEPT
# of Living MHI Addi ion (Group R)
APR 0 9 1992 Units
-- Commercial/Industrial:
New
°/
Buildilrr§'Department Representati:
Sq. Footage
Addition (Including Exterior
Roofed Areas)
e Date
*******************************************************************
(Floor Plans reviewed by School District Personnel)
District Id No.
School District certifies that
(Ap licant Name) (Phone Number)
(Street Address)
(City) _ (State) (Zip.Code),
has complied with the requirements of Resolution No. 0 90
by the payment of $ g9�% �y representing .S'��do square feet.
School District Representative Date
PAID BY CHECK NO.
BANK NO f %- k0 -2 fhalo
PAID BY CASH
REMARKS:
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)