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HomeMy WebLinkAbout069-050-003Oro RiV Pr�oper"tiesP� G9 g_6 12 LaForet Dr., Lot 27, KRYM,Oro i le CONTR: Gray W. Kelley, Oroville Permit 6337-76 B,P,E,M (new SF) ry � W O 69-05-3 . & Gail LaForet Drive, Oroville Permit # 1758-82-a.E(cmn_vert gar. to fam rm) SF �h s ,zontr : Blocker 'Cdn�;t , Oroville 69-05-3 dhtr: Lancaster Const, Oroville rPeAr* t el#3768-83B- (new-tov dee c) .. Cf���� 069-05-"03 00-2226 ROBINSON; MICHELLE 12 LA FORTE DRIVE, OROVILLE CONTR: COAST GAS GAS LINE FOR HVAC 069-050-003 00-2288 ROBINSON, MICHELLE 12 LA FORTE, ORO VILLE CONTR: D&AIR HVAC GAS LINE i i� cflila�iloluo 11 + COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7County-Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 �E NO. (Rev. 12/96) APPLICATION AND PERMIT r` v nD— ASSESSORPARCELNUMBER/ 17 ` ^ M� ZONING BUILDING PERMIT OWNERTELEPHONE F t� (I gT'i- S�iS SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS ;-� -1�a JnlrVO(ji Ile tea' 159 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER „y LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS �^�` t C .l Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NOME Pt C� �..f. PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 UUSEOFSTRUCTURE SF Q Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ . Addition ❑ Remodel ❑ U/dlifies ❑ Installation ❑ Other ❑ Describe Work:D! V :1 I,t.C1% - 01 'I�'1.. + +- b.t O (Nd bu J Pf0l•ll.I/! • Gas piping system 1 - 5 outlets 15.00 15. r Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE V ELECTRICAL PERMIT Fling Fee 20.00 800V 0R LESS Main Service .0. OR LESS 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ; •. ❑ 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. . - 'E I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 2O0A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. OR ADDNS. ( a ACC. Bins. so 3.5¢FT; P1O"N-RESID T.MUL 1H CVTLET @7.50 POWER APPARATUS a SINGLE OUT.ET CIR. EX. OCCU . OUTLET OR FIXTURES 20 Q 100 BAL @ .SO FIXED APPINS. OR Ex. Occup. O.RESID. EA 5.00 ` Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 required. -by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) •[3 1 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 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. `rof X`-�YY� �..1� �IC i�y��.ac�r-ti Date c� 1 / Signature of Applicant -,0 Owner ❑ Contractor ❑ Agent An OSHA permit is requiredrfor excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ r� . 3 CONST TYPE y fti TOTAL FEE $ HAZ. D. FEES' IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By T)) 911 f P Jt r 01,2. Date 9 /f 6".) PERMIT EXPIRES ON l%- /.�`e- / Date Receipt No. -;inn L/L/ R WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE = DEPARTMENT OF DEVELOPMENT SERVICES L BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERM NO. (Rev. 12/96) APPLICATION AND PERMIT'" ASSESSOR PARCEL NUMBER 069-050-003 ZONING BUILDING PERMIT OWNER ROBINSON9 MICHELLETELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 12 LAFORTE, OROVILLECA 95966 CONTRACTOR'S NAME DE AIR TELEPHONE 534-8691 CONTRACTOR'S210 BREFEATHER RIVER OROVILLE 0 95965 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS same Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: HVAC CAS LIFE Gas piping stem 1 - 5 outlets 15.00 4 nr Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S 35.00 ELECTRICAL PERMIT Fling Fee 20.00 OV Oil LE Main Service . ' OR LESS 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is /�il�l full force and effect. (A, �./y�( ^) License Class Ot . LIC. No. . -79 V� / OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 46.00SO WEL NG CCU000A NEW CONST. DWELLING OCCUP. ACC. O ADDNS.. ( 3.5QF°: aws. NON-RESIDCONS. M 97.50 POWER APPARATUS a SINGLE OuT. CIR. Ex. Occup. OUTLET OR FIXTURES 20 .00 BAL @ �. 0 UNSI Ex. Occup. OUTLLE°TSA(RRES GEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are:U Carrier Pt'jwr T4A�,t MECHANICAL PERMIT Filing Fee 20.00 Heating HVAC 30.0(. Cooling Hood 6.50 Ventilation PERMIT FEE $ • Policy Number 01!. 10 0 low " t f1 ~ 1 - db (The above sections need not be completed 0 the permit is for work ofa. valuation of one hundred dollars ($100) or less.) ❑ 1 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 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. X R-_ Date #—J) Sign gore of Applicant - ❑ Owner -13 Contractor a Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 85.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD I HO ISSUE v 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. ^ ��� ��Date Y PERMIT EXPIRES ON Date Receipt No. 302961 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT W COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ®�v PER�T O. (Rev. 12/96) APPLICATION AND PERMIT G ASSESSOR PARCEL NUR U ZONING BUILDING PERMIT OWNER TELEPHONE s5 � SO. FT. OCC. BUILDING VALUATION .OWNERS rg ADOR a_ /1Y71J11` �,�I _ . hOo e CONTRA Go'n 'S MIA CYJ TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Fling Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ •$ PERMIT FEE $ LOTNO ^ V—IC N E SUBD PARCEL MAP PLUMBING PERMIT Fling Fee 20.00. USEOFST CTURE SF )k Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 14 A — Gas piping system t - 5 outlets 15.00 15 • () Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 5. ELECTRICAL PERMIT Fling Fee 20.00 Main Service 20oq OR LESS 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, y will do the work, and the structure is not intended or offered for sale. �r7 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I.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 required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 46.00 NEW CONST. DWELLING OCUP. WEE CCU OR AD DNS. ( 8 ACC. BLDS. SO 3.5Q FT. CONST. M 1.OUTLET @7,50 APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU OUTLET DR FIXTURES 0 p 150 B4 . FIXPP Ex. Occup. OimErsI.M. OEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 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 _ Signature of ApplicantOwner ❑ Contractor ❑ Agent An OSHA permit is required or excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ � /Cc 3 'TvPE TOTAL FEE $ HAZ. D. IMP ,1 FLOOD CDF pgRC0. ^' p0 HD ISS 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. By Date PERMIT EXPIRES ON 4%/--Q/ Data Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 a Telephone (530) 538-7541 P O• (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 069-050-003 ZONING BUILDING PERMIT OWNER ROBINSON. MICHELLETELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 12 LAFORTF, OROVTT.T..F. CONTRACTOR'S NAME DF ATR TELEPHONE 534-8691 CONTRACTOR'S MAILING ADDRESS 2710 B FEATHER RIVED. OROVILLE 195965 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS S aim e Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: :HVAC CSS LINE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 800VOR LES Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is ' full force and effect. �^� License Class ® Lic. No. ��s"�'4� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier_` Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. OR ADONS. ( a Acc. BLOS. So 3.5¢x: rNOµ.6,.. MULTI -OUTLET @7,50 POWER APPARATUS a SINGLE OUn AP= CIR. Ex. Occup. OUTLET OR FIXTURES BAL @ 1.00 Ex. Occup. OFuTIEEDrs RI%.1El 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating :IVAC 30.0 Cooling Hood 6.50 Ventilation PERMIT FEE $ 00 Policy Number "t ©a (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manners so as to become subject to 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. XA A Date "'� Sign re of ant - ❑ Owner Contractor Agent —� An OSHA permit is required for excavations over 60" deep and demolition or construction`v of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 85.00 HAZ. I D. FEES IMP I FLOOD [CDT[ -PARCEL PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County C and/or Resolutions to do work indicated a ve for ich f es have been paid. Dat�e PERMIT EXPIRES ON 7 -- p' - y Dale ReceiptNo. 302961 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCELNUMBER �7� C,�J1 /�l C% /7Q ZONING BUILDINGPERMIT OWNER G e_ %(U 5,0A TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAID CONTRACTOR'S TELEPHONE ' CONTRACTORS MASJNG S9 CONSTRUCTION LENDER ` j Fireplace LENDER'S MAIUNO ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flina Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE _ LOT NO. SUBONISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap. 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobil ehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 -Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities /❑ Installation ❑ Other ❑ Describe Work: V� %j f Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 Main Service z0oovoaLss 23.00 • r RECEIPT # SRA $ SHERRIF $ TOTAL $ Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Main Service 200A TO 1000A 46.00 NEW CONST. DWEwNCi OCCUP. 3.5¢50. OR ADONS. ( 8 ACC. OCS. FT. NEW CONS . MULTI.OUTLET 97.50 NON•RESID. I POWER APPARATUS 6 SWGLE OUTLET C'0. Ex. Occup. OUTLET OR FSTTURES 20 SAL ® 1.50 Ex. Occup. ounEDTSA aEs'oLNS�eiL 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr. TYPE_ TOTAL FEE $ HAZ• D. FEES IMP I FLOOD I CDF PARCEL I PO HD ISSUE 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. By Date PERMIT EXPIRES ON ate j t March 23, 1992- Butte 992Butte County Public Works Building Department t 7 County Center Drive Oroville,-CA 95966 ATTN: Eleanor RE: AP 069-050-003 Dear Eleanore: _Per our telephone conversation of March 23rd, encl se;d'- is my check for $2.15 Please forward four copies of permits and finals #1758-82 and 3768-83. • 3 4> Thank you.. ; 4Wil ' .Y Gai Shirle 12 LaForet Drive Oroville, CA 95966 -o, FAgT O� � or^ IST , { t �l S • r. S ss 5 PERMIT NO.,7. PERMIT EXPIRES OWNER GUY & GAIL SHIRLEY Lancaster Const., Oroville CONTR. k i ASSESSOR PARCEL 69-05-3 r "LOCATION 12 LaForet „ Oroville _ s I , ' 4 a - Temp. Power Pole Called PG&E 1 ' Temp. Elec. Service ! Called PG&E Temp. Gas Service ' Called PG&E r t 1 JOB FINALED (Date) -//—/7 too /'011w , le:A� Signature • V OK 0 N o) dy" Not Applicable MOSILEHOMES Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS ERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch —Depth—Spacing= Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3 rrders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) wn.; Posts—Beams—Rftrs.—Co'nhec.—Shthg.—Rfg.—Bracing_ 5. Electricity; Location—Clearances—Grhd.—/ / Amp—Concrete S vrr Columns—Connections—Splice—Decal—Enclosures 6. .Gas; Location-Test—Wrap:/ /"L"it'./ /"Nat: or/ /"L"ft./, /"LPG ors; endows—Doors 7. Utility Clearance c7 FtA Card -BI Date Card -BI Date Card -BI Card -BI Date _-- Date Card -BI Date Card-BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s • 1. Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK except #'s V 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage'Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining___ 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elea; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7.Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI ' Date . Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date T J = OK .. 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) ' � - Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage: Steel-Blockouts-Wrapped-Slab 52. 53. Siding -Nailing -Veneer Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access - 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector _ 14. 15. Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access __17. 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ __19_. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except k's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection -- 21. Receptacles Spacing -Lights &Switches at Doors 70. 71. Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Size S _ 22. _Size Boxes & No. of Conductors -Stapled - 23. 24. Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic [3 Yes -- 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. 74. Guard Rails & Deck Construction -Post Caps Fdn. Vents.& Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 26. S_ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes []No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes 0_ No _ 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish _- 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet -_- 30. Clothes Closet Light -Shower Light - 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -------------- Card B-1 Card B-1 -- --.- __Date Card -BI - Date _ Date Card -BI Date 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. 84. 85. 86. Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 31. A.C. Ducts; Insulation & Support 32. Vent Fan; Exhaust above Insulation Condensate Drain _& Overilow; Size & Grade Card -BI Card -BI 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic ---- --- - - -- -_ D_ate Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: _____36- Sills; Proper Material & Anchors _ 37. 38, 39. _ WaIIs; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing_____ Draft Stop in Walls (rat proof) 40. _ Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. �45. Header &_Beam -Size & Bearing_ Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties- Purlin-Roof Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat 46. 47. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm._Windo_ws or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) t�. COUNTY OF BUTTE - DEPARTMENTOF PUBLIC WORKSPERM T O- 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 _� APPLICATION AND kRMIT ASSESSOR PAg.CEL NUMBER ((,0 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC, BUILDING VAL TI N / �,J '✓O / *7 OWNER'S MAILI G ADDRESS 12- 4 77" o �� CONTRACTOR'S NAME T PHONE ,j)(2457 -&A-1 CON RACTOR'SMAILIN ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $/ �9 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ -Z-S, 60 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ (_-�`CqeD Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ r BUILDING ADDRESS . 1A� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other (M0 (J SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e c TYPE OF WORK Net / I Addition ❑ Remodel ❑ Utilities ❑ Instal lation ❑ Other ❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2'.50 NEW CONST. (/ DWELLING OCCUP.& OR ADDNS. l ACC. BLDGS. 1 2h¢sq ft CONTRACTORS LICENSE LAW I declare Wxtl5rpenalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s ode and my license is in full force and effect. n —I 1 License No. Classification _� El 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 CONSTR ULT' -OUTLET NON-RESID BRANCH CIRC ITS, 2.50 ea NEW CONSTF;L I POWER APPARATUS &' NON-RESID. %SINGLE OUTLET CIR. 20@50t Ex. Occup(OR FIXTURES eALc�aoe P\o IXEDTS Ex. Occup. OUTLETS P(RESID IRE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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 Certif'cate of Workmen's Compensation Insurance or a Certificate o sent to Self -Insure. 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. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify harmless the County of Butte against all liabilities, judgments, costo', and a pe es which may in any way accrue a4ns'said County i onseque a gra in of this permit. X D _ ,t iof App ica Owner❑ Contractor Agent❑ permit ' required for excavations over 5'0" deep and demolition or construct- iouctures over ' sto/ries in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE OCCUP. GROUP I TYPE of CONST. PARCEL PD ND SSDE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. AO 9� 6b WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT I 1.'fCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIIFOR4' 95965 - TELEPHONE: 916/534-4541 i" PERMIT APPLICATION\DATA SHEET Permit No. 'OWNER 1% �li,E� A. P. No. /p Proposed Building Use Permit Fee Based Upon: Complete Contract Price '-:, DPW Valuation Other (Explain) Building Inspector � ti 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. . . . . . . . . . . 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 and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . 11. Planning approval for (A) US'e: (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 ❑.) t 15. Improvements may be required. . . . . • . . . . . . 16. Mobilehome Installation Data. • • Pre -Pre -Inspection for Required- B.ilInspec. request to (pate) 17. Pre -Ins p 4 uuding lnsPector 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone hold for pickup at office. Deliver w/inspector. Other � Applicant � u.a � \f/�i M7 ala ,Date Ill I A' 13 Copy of plans sent Health Dept., Fire Dept., �t 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 P lans Other: Telephone _Mail Other Date Co DPW....._ v .. ... ,..... �T —rel -3 ' PERMIT NO. 1758--82ByE PERMIT EXPIRES �A? fla OWNER Guy Shirley ! CONTR. Blocker -Const, Oroville T ASSESSOR PARCEL 69-05-3 LOCATION 12 LaForet Drive, Orovi7le I 4l t Temp. Power Pole k Called PG&E t ;r Temp. Elec. Sarvira Called P( Temp. Gas Sei f Cal led PG �4 JOB FINALE[ ny `I Signature is n si J = OK O' = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) 0:, „xcept ii 1: Zoning Requirements—Setbacks_Easements 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2.. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete; 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn,; Posts—Beams—Rftrs.=Connec.—Shthg.-Rfg. -Bracing_ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice=Decal—Encosures 6. Gas; Location-Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG, 6. Carports; Windows—Doors 7• Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card - BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except !1's 1. Setbacks -Easements 2. Footings; Size—Spacing—Marriage Line•. 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4• Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.;'Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries-Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7• Elec.; Bonding; Metal w/5'—Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec..; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins: to Main in,'Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy ` 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date- Card -B1 -Date i� Card -BI Date Card=B1 Date Card B -I Date Card -B6 Date Card -BI Date Card -BI Date } 14 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date_ FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. perty the ewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 48--EV-Doors-One 3' -Check Garage -3rd story, 2 exits t 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. room -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. 4?Tkwpoc�qn oof verhang-Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -Bloc ts- ed -Slab ja,-x ?52. 6. Stemwalls, Garage; S I ockouts-Wrapped-Slab 53. Stecee- rip creed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace eel 54--et-zing Area -Glass Protection -Skylights -Plastic 8. D.W. F II itt' gs-Test-2 way C/O -Sewer Test 55. Sh -Bolts 9. Ga 'p ze-Anchors 10. Wat ipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Date Card BI Date Car I Datq,,7r`7Z, Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINA ns) OK except q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's Lbd'Ext. Steps -Door & Sidelight Protection -Landings 5a=_Smoke4;eftTtvr y 14. Water HL; Vent -Access -Combustion Air 58 stn Furnace,V ae_t� ^' nce-Comb. Air -Connector - Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 59. B droam xitin & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access . Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 6 Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64.--6aaerAnMets-at 65• Wood Panel; Int. & Ext. fnt7?t7Tpliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. s -6 -Receptacles at Kit. Counter Date ELECT ICAL Permit OK except k's 67. wing -Landing -Closer 68• A�.Garage-Damper 2 fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr. - learance-Comb. Air-Connector-P.R.V.- age; Above Floor-Mech. Protection ec. Receptacles Spacing -Lights &Switches at Doors ize Boxes & of Conductors -Stapled 70. fob-Efec-& Mech. Equip. Listed for Location o d x Installed Close to Edge of Studs & C.J. 71. Eleerft�Cacles in Garage; (G.F.I.)-Romex Protec. quip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Looked in Attic E) Yes ^Q-A.ppliarrCO'Cfi+cuits in Kitchen &Conductor Size 73. Construction -Post Caps _ 26. SotrVTd-W re Sim/ / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents Hole Door -Drainage & Wood -Earth Clearance under Floor ❑Yes 27. Range Circ / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, I ed Neutral ❑Yes E) No 75. Following instld.: Drive E) Yes El No; Walks ❑ Yes E] No; Planters El Yes El No - 28. SQLxica-Risereonductors & Ground -Main Disconnect 76.- i tsh 29. Ecur-elemmm-es; Panels-Motors-Mech. Equip. 77, A,G & Cond. Size -115V Outlet -_ 30. Clothothp__ rincct l 'aht-Shower Light 78, Ibg.-Appliance-Firepl.-Clearance to Opngs. 79. Jp{aleF-Nb, isconnect, Electrical, Plumbing 80. 81, AUw4eP--1E+e-'-nm; G.F.I. Receptacle -Underground out House Dates Card -BI Date Card -I Date ,..x Card -BI Date Date MECHANICAL (Permit) OK except N's orrections from Previous Inspections 84._Ca& 6' QsT-"deters Tagged; Gas -Electric netted -C/0 to Grade -HD Approval a Certificate -Other Certificates 31. A.C. Ducts; Insulation & Support 32_ Vent Fan; Exhaust above Insulation _ _33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Ca and -BI Date Card -BI Date Date Card -BI Date -- --- Card -BI - Date Card -BI Date Card -BI Date Card -BI Date C I e Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: _ 2L -Proper Material & Anchors �alls; Studs -Nailing, Spacing & Bracing -Plates -Sound 36!�earing Walls over Girders & Floor Nailing Walls (rat proof) 4 -Stairs-Chases-Tub &Beam -Size &Bearing _ 42. s -Anchors -_Connectors 4 g. Joist-Rftr. Ties-Purlin- of Brac.-Truss-Shthnq.-Rfng. Fireplace Ties o pe A e- replace Throat tic Access; Stze Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrrtr-Windon or Exiting Doors -Sill Hgt. & Dimensions 47. ge 7r_e_Pr_o__te-c1 ion Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961 :'Ext. 57 CORRECTION NOTICE" BUILDING OR PROPERTY ADDRESS 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 F. matter,, or need additional explanation, please contact this office immediately. Ole Inspector �r� �� ��� ! Date d 6 !J COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle— Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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 /�C�Y/�/ /lr'�1A'�` Date RESXDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTIQN COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT 12 La Foret Drive, Oroville (location) B0rLDING PERMIT NO. f �%j ��/ A.P. N0. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not af,pIicaLlc) TNsnAT ION: GLAZING: Slab Edge. Single Glazed Fdn. Walls Special (Insulated)_ Floors CERT. & LABELED WDS. t. Walls CT FG 2" R-11 & SLIDING DHS. Ceiling/Roof CT FG " R-3AEATIIL:RST1tIPPED DRS. ing)4XYdM,X CT /FG 3-1211 R-11 BACK DAMPERLD FANS ---�• Circulating Pipes INTERMITTENT IGNITION DEVICES �-- APPROVED HEATER CERT. APPLIANCES APPROVED WTR.11TR.. I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. . Insulation Applicator Name Hawkins Insulation Co Inc Signature of r (pleases n Insulation Applicator State uuutraci;urb , License No. 378407 I General Contract r er ame n. �p2e, 5. ccy (pI ase print) Signature of Genoral Con t rac tclr�-'4Gwl Date Statj<ontractors 1.'c nsc No. THIS CERTIFICATE KYST Q$ ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SILALL BL POSTED IN A CONSPICUOUS_ LOCATION WVrIIIN THE DW1.;1.1.INC. ��� COUNTY OF BUTTE - P. PARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION,AND PERMIT PE MIT NO.. An ASSESS R PARCE NU�ER ;ZONING -�- ()g— r-`- BUILDING PERMIT JVJ O W,J E,R y �� SM TELEPHONE SQ FT. OCC. BUILDING V UATION - a ,© OWpI F�t'S MA LING ADDRE D ^ �C ® ^ � Y� 60 s i7zdCrold� CONTRACT R•S ^ �A�I LI G ADDRE /n�'' // // '' .�� Z7—i �- Q/wOU25; c1f Fireplace It4 00O.O v CONSTRUCTION LENDER UNKNOWN Total Valuation $ 100 Filing Fee $ 10.0 LENDER'S MAILING A RESS - Permit Fee $ 70.00 ARCHITECT OR ENGIN - LICENSE NO. Plan Checking .Fee $ 50'�%0 Penalty $ ARCHITECT OR ENGI ER'S MAILING ADDRESS Permit fee $ , O BUyy,rG ArWS, D�' /!� H' E PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 I, //� J IV! Water piping LOT NO.SUBDI 7-7 VISION NAME i .4 2 Z 5 PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1- 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other • SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ R /mpdel ©�ti lities ❑ Instaallllation ❑ Other ❑ Describe work: ���V �LL`� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 0ov DR Main service 1OR L 100 AMP OR E55 5•00 Main Service EA. ADD'L 100 A P 2.50 NEW CONST. DWELLING OC OR ADDNS. ACC. BLDGS. J;iILsq ft I , 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 C de a d my license is in tul 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 CONSTR I.OUTLE 2,50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR. /POWER APPARATUS 9 NON-RESID, %SINGLE OUTLET CIR. I e0@asa Ex. OCCUp OUTLETS OR FIXTURES gqL psi IXED APP LHS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above. information is correct. I agree to comply to all 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. 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 against said founty in cons a ce f the granting of this per�mitC./� p ^� Xate �"d T /1 111" Signal Ap 'cant — Owner ❑ Contractor 5' Agent ❑ a 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 $ TOTAL PERMIT FEE $ 0 OccuP• GROUP I TYPE OF CONST. I PAR;; Po ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC BY PERM EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 6_71IJ'7 6 � -Z-9—\ Receipt No. 9& WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF,PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, 6121FORNIA 95965 - TELEPHONE: 916/534-4541 PER,MIT_I-PPLICA ION DATA SHEET Permit No. OWNER 60� 4AI6- Proposed Building Use A. P. No. Permit Fee Based/Op�n: �, Complete Contract Price � DPW Valuation ' �' 2 Other (Explain) / / Building Inspecto Date 6 Z.-, At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED t/ 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 and AC Buildings... 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from 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. . . . . . . . . . . 17. Pre -Inspection for RequiredPre-Inspec. request to . Building Inspector (pore) 18. Other When you issue the permit, process as follows: Telephone and hold for pickup at Other Applicant r Mail to contractor. office. Deliver w/inspector. Copy of plans sent Health Dept., Fire Dept., V Ot 1�er 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) Plans checked by. Plans approved by Other: Copy—DPW advised of above required data by By�� Telephone Mail Date Date Date Other b � � PERMIT NO. 6337-76 B,P,E,M - V PERMIT EXPIRES 'OWNER Oro,Ridge•Properties CONTR. Gray W. -Kelley, Oroville > 34-69-03 LOCATION (A.P. ) 12 LOoret Dr., Lot 27, KR#2B, Oroville r j , ' t fi 4 3. . ; Temp. Power Pole ' Called PG&E Temp. Elec. Serv. Callleredo'PG&E Tem p4Gas Serv. /FOINA lled PG&E LED (Dat C Signature) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Footings/' -=1 Stemwa I I / _-I Slab / 5- Carport Footings Slab Patio Footings Masonry Walls• Reint. Steel Bond Beam - - FramingtS Stucco Mesh Scratch Brown .Finish Interior Lath Door Closer DATE BUILDING (Cont'd) Firewall Parapets Restroom Finish :,0'L Windows Siding -— Roof Sheathing/p Roofing 121L/ Fdn. Vents Garage Vents Insulation Prov. for phsically handicapped Conformance of ex. structure Final FI EPLACE Soil Piping 1st Floor 2nd Flooi 3rd Floor Topout Water Pipim / PLUMBING ewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Tem . Gas Sanitation Final - G Footing BUILDING Setback !-% G Forms Main Bldg. Final Footings fixtures Stemwal I FIK SPRINKLERS Slab Piers Test Footings/' -=1 Stemwa I I / _-I Slab / 5- Carport Footings Slab Patio Footings Masonry Walls• Reint. Steel Bond Beam - - FramingtS Stucco Mesh Scratch Brown .Finish Interior Lath Door Closer DATE BUILDING (Cont'd) Firewall Parapets Restroom Finish :,0'L Windows Siding -— Roof Sheathing/p Roofing 121L/ Fdn. Vents Garage Vents Insulation Prov. for phsically handicapped Conformance of ex. structure Final FI EPLACE Soil Piping 1st Floor 2nd Flooi 3rd Floor Topout Water Pipim / PLUMBING ewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Tem . Gas Sanitation Final - G Footing ELECTRICAL Throat Rough Final fixtures FIK SPRINKLERS Motors - Test Water Htr. Final Subpanels MECHANICAL Grd. Fault Prot. Heating Service Cooling `Z-7 AIL Temp. Pole Ducts Underground Ventilation Permanent Final — --2' -777--? __ --./ Final --s REMARKS OR CORRECTIONS to u�p lie A� G ✓� x� A - -/ 3�w A `--OK � P/bD u) C); WA/X L alar MA DE- UPS A�t" pTl-1 S 17i0 E- �-a s j� �L �X• f� � A C� 4A �. ,4peoa ,,i- 7o�- (NOTE: An entry must be made on this form each time you visit the job site.) 63 �c . 11c •/�� I s Fiber Glass Insulation BUILDERS INSULATION STATEMENT BLOWN INSULATION Manufacturer's minimum thickness to provide the level of insulation resistance (R) Values as shown: ' R Values are determined in accordance with ASTM C-687 and C-236. Conforms to Federal Specification HHI-1030A. This insulation has been installed in conformance with the above recom- mendations to provide a value of R using bags of insula- tion to cover square feet of area. Insulation Contractor (Sign) Builder (Sign) Company Name Company Name BATTS AND BLANKET R INSULATION R INSULATION VALUE THICKNESS VALUE THICKNESS R-22 61/2" R-13 35/a" R-19 6" R-11 31/2" Date Meets Federal Specification HHI-521E Fiber glass batts or rolls have been installed in accordance with the manufacturer's recommendation to provide an R -Value ofin the ceiling, l/ in the exterior walls, in the floor or crawl space perimete InsL#ation Contractor (Sign) Builder (Sign) Company Name Company Name z i ;PC CSG -32-11-C Date CertainTeed Corporation, P.O. Box 860, Valley Forge, Pa. 19482 C -I CERTAIMM HAWKINS INSULATION CO. Yuba City, CA Lic. #215925 PHONE: 91qff I/ COUNTY OF BUTTE - D!FE�F�TfAi'�MENT OF PUBLIC WORKS 7 County Center Drive — U 6Ville, California 95965 Telephone: 534-4541 APPLICATMN AND PERMIT ..•�••-� .,r,.,...,,, •..., ...� u�c vvuu�y vi ou uc ry U11 U1 uNull ulc above-mentioned property for inspection purposes. 01 X _ %,alglw sly /5 L1 bate -/,f- 76 Signa ure of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — ink -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 UBLIC WORKS By Date 4--A.6-74. ilding permit expires Date //-"L'6-a7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address J G f �2—a� Telephone No. O VW11- 3 Fireplace Contractor &/i Z W4142�,E_Al Total Valuation 1726,7q00 Mailing Address le.1 Pyl:oa Permit Fee Q Plan Checking Fee&/or Penalty _ Telephone No. Permit Fee $ g Q O( Building Address G� 'y 2 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 _3 -DO L let= Each Trap g 1:50 Repair drainage or vent piping 1.50 Water piping 1.50 :FQ /4 ' 27 t,,1LZftInif—XfTifcafion Onl Each gas water heater or vent 1.50 A. P. No. �— (I "--V Zonin &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes' V11,e. a u' Fire Dept. Fire Zone Use Perml Building sewer 5.00 Q EQA Parking Plans 13arcel Declaration Parcel Ma P 60' R/W Improv ents P Lawn sprinkler system 2.00 Bld�yy ��j;T 1"fo feed Par' pprovaI PI Approval Permit Fee $ _ $ 'C NEW—]AADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT.FILING FEE $3.00 -Q® Main service 1000 AMP ORV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 MA Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVERAMP OR LESS 25.00 Main service Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP OR ADDNS. ( ACC. BLDGS. ,& L 20 sq tt 2-!7.7— NEW CONSTR.MULTI-OUTLET 'NON-RESID. BRANCH CIRCUITS) 2.50ea ' NEW CONSTR. (POWER APPARATUS &) NON -RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) 250 BAL1 �@I Ex. Occu FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No./4-7f4-8 ClassificationMisc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ Z $ 'lj7, 1Z 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. 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. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FLING FEE $3.00 - U Heating � j/� 00 ' Cooling / r0A1 / Od ,a0 Ventilation Hood 2.00 00 Permit Fee $ 13 Q $ 3 90 TOTAL PERMIT FEE $ ..•�••-� .,r,.,...,,, •..., ...� u�c vvuu�y vi ou uc ry U11 U1 uNull ulc above-mentioned property for inspection purposes. 01 X _ %,alglw sly /5 L1 bate -/,f- 76 Signa ure of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — ink -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 UBLIC WORKS By Date 4--A.6-74. ilding permit expires Date //-"L'6-a7