HomeMy WebLinkAbout068-200-029Dingena Erwin
576 Quincy Rd., Oroville
Permit #1345-80B,P,E,M(new single %
family) �
�V
068-200-029 04-1800
MALOTTE, LEON
3 ARBOL AVE, OROVILLE lNALE®
Cont: ALLAMN ROOFING 7'' 1,3-6 y
REROOF/SF
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)'
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
V/BPO41800
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 06/2112004 APN: 068-200-029-000
the Business and Professions Code, and my license is in full force and
effect. /1 ? 7 !�
License Class : License Number:
Site Address: 3 ARBOL AVE ORO
Date: 6-?AdV Contractor:
Map Index:
Description: TEAR OFF RE -ROOF W/COMP (14 SQ)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: MALOTTE LEON L & MICHAELEE L
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
48 EDGEMONT DR
7000) of Division 3 of the Business and Professions Code) or that he or
OROVILLE, CA
she is exempt therefrom and the basis for the alleged exemption. Any
95966
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: ALLADIN ROOFING
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
P O BOX 4262
year of completion, the owner -builder will have the burden of
OROVILLE, CA 95965
proving that he or she did not build or improve for the purpose of
(530) 533-2934
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor: ALLADIN ROOFING
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
P O BOX 4262
OROVILLE, CA 95965
Date: owner:
(530) 533-2934 �a
q V—I !v
I -
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
License #• 532834 5 J
❑ I have and will maintain a certificate of consent to self -insure for
•. \1 y
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
-
is issued.
I have and will maintain workers' compensation insurance, as
Architect: J
required by Section 3700 the Labor Code, for the performance of
My
Engineer:
the work for which this permit is issued. workers' compensation
insurance carrier and policy number are:
Cartier. P7 =4
Total Square Ft: 0 S. F.
Valuation: $0.00
Policy#: 7/3— %01 2 7--0 f
❑ I certify that in the performance of the work for which this permit is
in to
Census Code: /
issued, I shall not employ any person any manner so as
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, 1 shall
forthwith comply with those provisions.
Date:(—
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor��'
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Coda anrUor
I hereby affirm that there is a construction lending agency for the
Resolution to do work indicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
�-(e • 1
BY �' Date:
Name:
PER IT XPIRES ON: (o • a f - o S
Address:
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County toenterupon the above mentioned property for inspection purposes.
f
Print Name:/ 1//� Gr !ri ///1r/ Signature:Date:-2—
/— / — fi y
❑ Owner Contractor ❑ Agent for Owner 0 Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BP041800
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 06/21/2004 APN: 068-200-029-000
the Business and Professions Code, and my license is in full force and
effect. S �a� 3
License Class : 0-3? License Number: Y
Site Address: 3 ARBOL AVE ORO
Date: 6— 7" V Contractor:
Map Index:
Description: TEAR OFF RE -ROOF W/COMP (14 SQ)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: MALOTTE LEON L & MICHAELEE L
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
48 EDGEMONT DR
7000) of Division 3 of the Business and Professions Code) or that he or
OROVILLE, CA
she is exempt therefrom and the basis for the alleged exemption. Any
95966
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: ALLADIN ROOFING
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
P O BOX 4262
year of completion, the owner -builder will have the burden of
OROVILLE, CA 95965
proving that he or she did not build or improve for the purpose of
sale.).
(530) 533-2934
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor: ALLADIN ROOFING
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
P O BOX 4262
OROVILLE, CA 95965
Date: owner:
(530) 533-2934
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
License #: 532834
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
1 have and will maintain workers' compensation insurance, as
Architect:
required by Section 3700 the Labor Code, for the performance of
Engineer:
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:/
Carrier.
Total Square Ft: 0 S. F.
Policy #: l 3 — / % 27-0
Valuation: $0.00
❑ I certify that in the performance of the work for which this permit is
issued, 1 shall not employ any person in any manner so as to
Census Code:
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: (o - Z tf— )
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
' I d-.— > �/ D
code,
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resolution to do work indicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
By: )4
Name:
Date:
Address:
PER T XPIRES ON: (o - a I- O S
Date
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name:— ,, Signature:
14 �
Date:
❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor
9
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
CONTRACTOR
OWNER
Name M#*rLo7TE
Address ISIS-Mt'llerD24 ed
Address
S ate
City
Phone J���, 3 .
Stat
Zip
Phone
Cls
Fax
E-mail
Planner
CONTRACTOR
Name
vt
Address ISIS-Mt'llerD24 ed
City �� i�ff
S ate
'p _
Phone J���, 3 .
Fax
E-mail
Lic. # 3��3
Cls
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Map Book
Fax
E-mail
Planner
State License Number
APPLICANT NAME
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning
Flood Zone
SRA
Yes
No
Occ.
Type Const
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
KAFORMS\BUILDING FORMS\BIdoADDISubRarnts.doc
PERMIT
NO.
BP
BIN #
LOCATION
AP#
C�Ccsefa' 8Q—dZ
Property Address
Cross Street
WORKER'S COMPENSATION
Policy Number
X1.3' 1 477 -/
Carrier E
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
_ Description or Scope of Work:
Sq. Footag `
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
Paoe 1 of 2
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: k r_ j Amount: ( 10, Bldg
1I SRA
Receipt #:4tn4471 Sheriff
SMIP
Date: 4/s t/6 sf
Other
Total
REV 430-04
SUBMITTAL REQUIREMENTS
r
The following drawings and specifications must be submitted to the Building Division in order to apply
fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE
LEGIBLE AND W INK.
Residential, New, Remodels, Additions, and Accessory Structures:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPERI
❑ 3. 3 Engineered plans (if required) with wet signature on plans'AND 2 sets of stamped and signed
calculations.
❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to
mobile or modular homes.)
❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 8. Detached Accessory Building Form, filled out by the property owner (if required).
❑ 9. Sanitation and site plan approval from the Environmental Health Department.
❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
Mobile, Manufactured, or Modular Homes:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑ 2. 2 Data sheets and installation instruction manual.
❑ 3. 2 Marriage line information.
❑ 4. 2 Floor plans.
❑ 5. 2 Engineered Tie Downs or Foundation plans.
❑ 6. Sanitation and site plan approval from the Environmental Health Department.
❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation (if required).
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Statement of Intent for Non -heated and A/C (if required).
❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate,'(C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
❑ 9. Letter of intent.
❑ 10. Hazardous Material Form.
❑ 11. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2
REV 4-30-04
PERMIT NO. 1345=80B,P,E,M
PERMIT EXPIRES
OWNER Dingena Erwin
CONTR. owner
LOCATION (A.P. 34-18-28 )
2576 Quincy Rd., Oroville
i
E .
_a
k
1
1.
F
t
i
i'
t
Temp. Power Pole
+! l ePG&E
e
^j Tem ec. Se//rv-X L
Called PG��tE
Temp. Gas Serv.
U ed PG&E
� B�
FINALED
(Date) /1L//_���
/1
(Signa
CE
Footings Y4 S� fy I Footing \ CTRIC9rL /
Masonry Walls I Throat X I Rouah -
Fixtures
Stucco
COUNTY,OF BUTTE=vDEPARTMENT, OF PU¢LIC WORKS
BUILDING INSPECTION RECORD
Subpanels
Mesh
BUILDINGBUILDING
(Cont'd)
PLUMBI G
A Heating
Setback
Brown
O Firewall
Soil Piping O
$'�
Forms
Underground
Parapets
1st Floor
a
Main Bldg.
l� Final F -
Restroom Finish
2nd Floor
E Pedestal
Footings
Sewer
Gas Piping
Windows 'd 2"� 0
3rd Floor
r Water Piping
Stemwall
Gas Piping
r DATE
irsiding
To out 7
Slab T
r v
t Roof Sh thin Z l ��
i Water Pipis
Piers
f d Roofing
Sewer
Garage
Fdn. Vents a---
Fixtures
Footings
Stemwall
Garage Vents
Insulation
Water Htr. Q
Heaters
Slab
Carport
p°a
Footings
OT j<1W1,9,3
Prov. for physically
handica ed
Conformance of ex.
re __ , _ _ /. ,
Appliances
Gas Piping & Test
Temp. Gas _
S'
_
CE
Footings Y4 S� fy I Footing \ CTRIC9rL /
Masonry Walls I Throat X I Rouah -
Fixtures
Stucco
- Final
Subpanels
Mesh
` MECHANICAL
Grd. Fault Prot.
Scratch
A Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts .Z ��
Underground
Interior Lath
ion
a
Door Closer
l� Final F -
Final
MOBILEHOME UTILITIES - - - - - - - - - - - - -(----Ere-c.- - Service
E Pedestal
Water Piping
Sewer
Gas Piping
MOBILEHOME INSTALLATION .............. Support
Elec. Continuity
r Water Piping
Drainage
Gas Piping
r DATE
REMARKS OR CORRECTIONS
67,
(NOTE: An entry must be made on this form each time you vislt the job site.)
UNDERFLOOR
P ans _
Se acks - Easeme is
. _ '
Ftg., Main; ' s - Sk4f - EI rnd to g. th
Above Completed - O Except: _
Job Card Signed Date
Corrections Completed _
Job Card Signed Date _
4. Ftg., Garage; Soils- Steel- ❑" Ftg. Depth
5. FAg., Porches & Decks; Soils -Steel - ❑" Ftg. Depth _
Stemwalls, 't Steel - Blockouts
ers - Flre tt9. - Steg
- F4ww- t wa /Ow we
Gas Pipe; Size - Test _
4.b. W"o"4pa* Toes! - An ors - R ator - Service Test 9 %+X.
Electrical _
Plenums & Ducts; Clearance - Material - Support - Ins. _
Girders - Sills -Anchor Baits -Joists ents Cr' ples _
Above Completed - Except: _
Job Card Signed Date S S _
Corrections Completed
Job Card Signed Date
PLUMBING - ABOVE FLOOR
W -Water Htr. - Vent - Access - Combustion Air
*-"Water Pipe - Test & Anchors - Nail Protection
rain Pipe - Test - Fttngs & Anchors - Nail Prot. - 42" Test ❑ _
wer Pan.- Test, First Floor - Tub Access
lVe'lat Tub & Shower, 2nd floor - Tub Access _
Gas Pipe - Size & Anchors -•_
Above Completed - ❑ Except: _
Job Card Signed Date -A
Corrections Complet_ _
Job Card Signed , Date
I
ELECTRICAL - ABOVE FLOOR ~_
•24: Clearance & Insulation Prot. at Flush Light Fixtures
Bi"-Elec. Receptacles Spacing - Lights & Switches at Doors
<S'xe'Boxes & No. of Conductors - Stapled
Ro ex Installed Close to Edge of Studs & C.J. _
quip. Ground made up w/Mech. Fasterers _
2 Appliance Circuits in Kitchen & Conductor Size _
27. Sub -Feed -Wire Size/ Z/ga. Cu o A.C.-Wire Size/ Vga. Cu a A _
28. Range Circ.ff ga At - Oven Circ. Clga:-GuAt
Insulated Neutral es ❑No -�lbcce_ '=y" m -
•3J:' Service - Riser Conductors & Ground
Bond Gas & Water Pipes
-W% Clothes Closet Light - Shower Light
Above Completed - ❑ Except:
Job Card Signed Date
Corrections Completed
Job Card Signed Date
MECHANICAL - ABOVE FLOOR
AZC. Ducts - Insulation & Support
Vent Fan - Exhaust above Insulation
fit: Condensate Drain & Overflow - size & Grade
a5~ Furnace - Vent - Acces-Comb. Air -- Return Air Vent - 115V outlet
29,./Attic Access & Platform if furnace in attic
Above Completed - ❑ Except:
Job Card Signed Date
Corrections Completed
Job Card Signed Date
FRAMING
ans
,BTIls-Proper Material & Anchors
Walls - Studs - Nailing & Spacing & Bracing " Plated
40. Bearing Walls over Girders & Floor Nailing
raft Stop In Walls (rat proof)
Fire Stops - Furred Ceilings - Stairs - Chases - Tub
l-jader & Beam - Size & Bearing
Hangers - Post Caps - Anchors - Con •actors —_
45. Cing. Joists-Rftr. Ties -Purlins- ac.-Truss-Shthgb-4Unto- 7 -c/ -PIS
�t.
46... Fireplace Ties or Type A Flue - Fireplace Throat _
11 A tic Access -Size & Romex Protection —
4_B-Bdrm. Windows or Exiting Doors - Sill Hgt. & Dimensions
Garage Fire Protection Framing
,be- Area Separation Walls - 1 hr. Fire - 2 hr. Flre
-59-" Ex . Doors - one 3' - Check Garage _
Stairs - Width-Headroom-Rlse•Run-Landing-Fire Protection
We
tywood on Roof Overhang - Attic Vents - Rafter Outrigeers
Siding - Nailing - Veneer
-59--Stucco Meh, Orip Screed & Fdn. Vents & Underflr. Access
'J*3- ass Protection it required
Shear Walls
Above Completed - ❑ Except:
Job Gird Signed Date
Corrections Completed
Job Card Signed Date Z ZZ Y'D
FINAL
Plans
fit- Steps, Door & Sidelight Protection - Landings
M-0
S ke Detector ~
urnace - Vents-Clrnces-Comb. Air -Connector- In Garage-Hgt. &
M,pch. Protection _
p: ram Exiting _
.1. & Ba re Tub Access
. Trim & Subpanel - Breaker Sizes - Labels _
ftV St irs & Rails `
w1tiorpplace or Stove - Clearances -Hearth
EjW. Outlets at Wood Panel - Int. & Ext.
Fixtures & Appliances in Kit. - Grnded - Air Gap - Cling. Clrnce
E Outlets & Receptacles at Klt. Counter
Door - Swing & Landing -Closer
Wtr. Htr - Vents-Cirnces-Comb. Ai n - In Garage.
�Iqt. & Mech Protection
7 . Firewalls & Openings - Area Separation Walls
Elec. Receptacles in Garage (G.F.1.) Rom eerotac.
l Cnsulat'on - Foam - Looked in Attic 1-00'/Yes
f�Gu,Adails &Deck CAnstructionnts & Crawl hole door Dra' & Wo a Irnces-
under floor / /Yes /tO,scp„u�
Following instld: Driv. Yes • 'o; Walks OYes o;
Planters C1Yes Clh o; Creating Orng. Problem es t as
'79- S co; Brown - Finish _
A.C. Unit-Disconnect-GlCnces-Brkr & Cond. Size- 115V Outlet g
S Vents Above Roof -- PIbg.-Appllances- Firepi. -- Clrnce to Opngs _
8i1_. ldfer Well - Disconnect, Electrical, P!umbir•g
Exterior Eler.. Trim & G.F.I. Receptacle _
Ventilation throughout House
_ _
Glass Pre tct:tLr,
€> drrections from Previous Inspections
8%. as Test -- Meters Tagged -Gas & Electric
ater Supply & Sewage Connected C!earout to Grade_
Energy Compliance Certificate
Above Completed 0 Except:
Job Card Signed ' to
Corrections Complet —
Job Card Signed Date
EJ
C.
RESIDENTIAL
r;NFff;Y CONSF.RVATTON STANDARDS
CONSTRUCTION COMPLIANCE. CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIRFTIENTS 1L%VE BEEN
INSTALLED JN CONFOKM-A1K:1•; 1.1'11 CURRENT ENERGY CONSERVAT1ON REGULATIONS
� location)
1,,U1LDJN(; PERMPr NO.
A.P,'NO.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or vtrite N/A if not applicable)
INSULATION:
Slab I clp,e _ A
Pain. Walls AIA_
Floors -/
10aII S_
Coiling/Roof:`- C
I AIA
•l
Circuatinl; Pipes__ -[a_
APPEOVED II►"kTFR jVA
APPEOVED
GL.A Z I1dC :
Single Clazed _ 4
Special. (Insulated)_ AU
CERT. & LABELED WDS.
& SLIDING DRS,
WEA'LHERSTRIPPED DRS,__ _
BACK DAMPENED DANS L4
111TI;RMI'r1'Li•i•1:. T.GNITION UEV TCES
CER'r. APPEIANCES /Y
I DECLARE THAT ALL. REQUIRED ITEMS AS NOTED ABOVE. ;AVE BEEN INSTALLED
IN ACCORDANCE wErR THE ENERGY CONS L••'RVATI(iHAtlAg7IIAUFafl� tC6L-:Fj.
THE COMPLETENESS OF THIS CERTIFICATE AS S; -IRr�EN HIGHWAY P.O. BOX 569
Insulation Applicator Name YUBA CITY, CALIFORNIA 95991
c a s c p r' :c t W16) 671-0200 –
Signature of
!n:,nl.:ction Applicator _
State Contractors
License 140.2,&-02
General Contractor/owner Name
(please print)
Signature of
General Contractor/( mer Date
State Contractors
License No.
TI i T:; CI?iZT iTTC.ATF; 141I;7 'BE ON FILE WITH THF, 11U 11J) TNG D13PA RT1H?Nr PRIOR TO
IfECtUI:S'I'Ic;C; F IT,A . IISPECTTON AND SHALL BE POSTED 1N A CONSPICUOUS LOCATION
WITHIN THE I?WPLLING,
COUNTY OF BUTTE — DEPAA'TMENT OF PUBLIC WORKS
7 County Center Drive Oroville, California 95965
' Telephone: 534-4541
APPLICATION AND PERMIT
autnorize representatives of the County of Butte to enter upon the
abovntioned property for insp &tion purposes. j
X ""� ate
Signature V, Permitee or Agent
Receipt No. �7, (,- (, l T
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
—
7- Zf
Building permit expires Date ��
BUILDING
Owner 1ly fir' �� f2 Cs t /1/
SO. FT. OCC. BUILDING VALUATION
7•00
Mailing Address a (4 j e Ut!
�C( Gov, tl(' (3 C)
y�ov ; G Gey liF 9 --
Telep3,l a.
as
n
Contractor
Mailing Address
Fireplace
Total Valuation , O�
Telephone No.
Permit Fee �
Building Addressj Y
Plan Checking Fee&/or Penalty
aI_5-0
Permit Fee So
? C
PLUMBING No.
@
FEE
PERMIT FILING FEE
$3.00
®p
Each Trap o'Z, GD L
V t L (,
Repair drainage or vent piping 1.50
ryWater
A. P. No. 3-- — b Zoning & Planning
piping
CZ30
�a
Each gas water heater or vent 0 pz
lis 1
4'6. 1
��n
Fire Dept.
Fire Zone Use Permit
Gas piping system 1 - 5 outlets .00
EOA
Parking
Plans
Parcel
Declaration
Parcel 60' R/W
Improvements
Each additional outlet .30
_
wilding sewer 5.00
Bldg. Plans Recd
Parcel A 'oval
Plans Approv
Lawn sprinkler system 2.00
NEW 5d ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $ 2 7, aj
$ C
ELECTRICAL No.
@
FEE
PERMIT FILING FEE
$3.00
�a
Main service 1000 AMP ORV OR LE LESS5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600
100 AMP OR LESS
25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. / DW - UP.
OR ADONS. ( AC 22 sq ft L(,�
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
T
NEW CONSTR / RANC -OUTLET
NON.RESID, l BRANCH CIRCUITS)
2.50ea
NEW CON STR (POWER APPARATUS &�
NON.RESID. SINGLE OUTLET CIR. 11
Ex. OCCUO(OUTLETs OR FIXTIIRES)150@x#
IBAL@ 10s
FIXED APLISIS
Ex. Occup. ( OUT ETS P(RESID.)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
[RI am exempt from the Contractors License Laws of the State of California.
Permit Fee
$OFEE
$
COMPENSATION INSURANCE
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.
171 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.
@WORKMEN'S
PERMIT FILING FEE $3.001
Heating d�
�jp •—
Cooling,®p
Ventilation
4=2.00
Hood 15z_C>-0
Permit Fee $1314010
$ 13 Idir
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
$ <) "t
TOTAL PERMIT FEE
$ 1
autnorize representatives of the County of Butte to enter upon the
abovntioned property for insp &tion purposes. j
X ""� ate
Signature V, Permitee or Agent
Receipt No. �7, (,- (, l T
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
—
7- Zf
Building permit expires Date ��
;�. COUNTY OF BUTTE — DEPARTMENT 6F PUBLIC WORKS — BUILDING DIVISION
t 7 Coonty'Center Drive — 0r8ville; California 95965 -Telephone 534-4541
M PERMIT APPLICATION DATA SHEET
Permit No.
v
OWNER e5;- le,--, 05t P. No. _54— /i?-- -2
Proposed Building Use
Permit fee based upon: Complete Contract Price --"DPW Valuation
,Other (explain)
Building Inspector 105_ � Date -3 // <-- Asi-o
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...............................................................
3. Complete plans in duplicate/triplicate...................................................
4. Complete engineered plans and calcs.....................................................
5. Plans with Energy Design Compliance Statement ............................
6. State Energy Forms No. ....................
7. Statement of Intent for Non -Heated & AC Buildings ...................
8. Fees of $..................................................
9. Letter of signature authorization.............................................................
10. Sanitation approval from Health Dept....
11. Planning approval for .............
12. Certificate of Workmen's Compensation Insurance ........................
13. Contractors License Information (no., name style,
classification) ...............................
14. Improvements may be required. Contact Land
Development Section of Dept. Public Works (see
addressbelow).................................................................................................
15. Pre -inspection for required. Pre-inspec. request to
bldg.inspector (date)
16. Other
When you issue the permit, process as follows: Mail to owner Mail to contractor.
Telephone 4-33: and hold for pickup office. Deliver w/inspection.
Other
Applicant Ce_k'A' n Cr��. �t�� f �.t�r Date
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by
Plans checked by_
Plans approved by
Telephone
Mail
Other
Date
OTHER:
r,,,,,, /nP%Al
�un��tcv Gu,ur�n. G�n(wL f . Qu�au� . Po(. 'a'� -,
� U
C36
��w
N
Leo W. Erwin
2365 Quincy Road
Oroville, CA 95966
Dear Mr. Erwin:
. utte L'ount .-
- L A N D O F N A T U R A L W E A L T H A N D B E A U T Y
- ae�
DEPARTMENT OF PUBLIC WORKS
WILLIAM (Bill) CHEFF, Director
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965
Telephone: (916) 538-7681
RONALD D. McELROY
October 31, 1990 Deputy Director
Re: Abandonment - Arbol Avenue
Right of Way
AP 68-20-02, 06 & 28
Pursuant to your letter received on September 24, 1990, concerning the above -noted
abandonment, please complete the following on the attached petition -for abandonment:
1. Obtain signatures and addresses of adjoining property owners who may have
an interest in said public easement, plus other property owners in the
area, totaling ten or more.
2. Date petition.
We need letters from all utility companies stating they no longer need said easement.
Submit a check to this office in the sum of One Hundred & Sixty Dollars ($160.00)
made out to the Butte County Treasurer.
If we can be of further assistance, please notify this office.
WC: ss
Encl.
cc: Mapping w/o encl:
,Bldg. Dept. w/o encl.
Very truly yours,
Original signed by
William c—,
William Cheff
Director of Public Works.
i
i li i.� I
�,� � ie f L
i � 1 ' '.i
���� f f
t
,. � � ,�
i� i s i �
i i
t
i I
t '
�r � i � i 'd � �.
r �I i
n
i � ��i � � i ��� I
v, C I-
7,7
if r
� Ri �_ t•," ,., . � �
it
R
i
M H
ti.,««,'"q�„,•k..�.w:�.«�«.a+�.y.+`.�Il..,a
S,U:r:%t.