HomeMy WebLinkAbout069-210-0741)
Lowell B. Birgin 74
28 Shad Ct., lot 281, 'KR#3, Orovill
Permit �k17 7-76P, util. ,
ELEC. ' Z 6
GAS
SUPPO T S RUCTURE REQ. d
COMPACTION TEST REQ.- 111 ,
CONTR: Carneros Mobile T -a , Napa
-, Perms �k2262-76MHI _ �
Issued) - =q
� 76—
_
CONTR: B & D Industries, Sacramento
Permit #249-76B(new awning & covered
deck/MH) ;,,, i . //ci✓I
3 69- Z 74
CONTR: B & D Industries, Sacramento
Permit #2745-76B(neyw awning/MH)
NEW OWNER 69-21-74
BILL O'KEEFF
28 Shad Ct, Oroville
Permit#1653-83B,E(new private detached
garage)
069-210-074 99-0600
FRANSON, Robert F.
28 Shad Court, Oroville
Contr: Owner
gas line
069-210-074 01-275
SHINN, DONS' `
28 SHAD CT, OROVILLE/46-aZ
ADDITION TO EX GARAGE
069-210-074 ;, 02-2235ANAL :p
SANDERFER, MARLENE .
28 SHAD CT., OROVILLE ' ' ��
CONT: HOME IMPROVEMENTS
DECK (EX AWNING)
0
NOTES
r
J
RESIDENTIAL
069-210-074 02-2235
PERMIT NO. _
SANDERFER-IMARLENE
28 SHAD CT., OROVILLE
CONT: HOME IMPROVEMENTSi
DECK (I AWNING) -
SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
III
a
CHECKED
BY
JOB FINALED (Date) 4AII�, _7
Signature
J=OK
0 = Not OK
. = Not Readyble
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Zonin quirements-Setbacks-Easements
ootings; Soils -Size -Depth -Spacing -Connectors -Steel
1.
Zoning Requirements -Setbacks -Easements
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
2.
Soils; Special MH Support Sketch
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
3.
Sewer; Location -Test -Fall -C/O -Concrete
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
4.
Water; Location -Test -Easement Needed (Sketch)
Carports; Windows -Doors
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Electric
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or/ /" L "ft./ P LPG
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
7.
Well Clearance & Disconnect
Siding; Nailing -Veneer -Stucco -Mesh
8.
Utility Clearance
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
POOLS (Plans) OK except #'s
2.
Footings; Size -Spacing- Marriage Line
Setbacks -Easements
3.
Gas; MH Test -Demand -Valve -Connector
Soils; Compaction -Structure Stability
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
5.
Drain; MH Test -Fall -Flex Connector
Elec.; Receptacles and Lighting, Distance-GFI
6.
Water; MH Test -Regulator -Connector
Elec.; Pool Lighting; 15 Volts-GFI
7.
Water and Sewer Connected -C/O to Grade -HD Approval
Elec.; Enclosures; Conduit Entries -Terminals -Listed
8.
Gas and Electricity Tagged
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
9.
Tie Downs -Type -Installation Cert.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main Conduit
10.
Exits; Insp.-Sketch
Health Department Approval
11.
Cert. of Occupancy
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8. Gas and Electricity Tagged
9. 'Exits
10. License Decals
11. Verify #'s with Office
Date Card B-1 Date- Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date
COVERS, CARPORTS, GARAGES (Plans) OK except #'s
g
.
Zonin quirements-Setbacks-Easements
ootings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
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, Distance-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 Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL. (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 "Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
72. Elec. Outlets at Wood Panel, Int. & Ext.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral O Yes ❑ No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
87. Water Well, Disconnect, Electrical, Plumbing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Date
41. Sills Proper Materials & Anchors
Comments at Final:
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)..
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
83. Following Instld./Drive 0 Yes O No/Walks O Yes 0 No/Planters D Yes O No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 02-2215
S S ORPARCELNUMBER
—210-074
ZO"' G
BUILDING PERMIT
OWNER
MARLENE SANDERFER AND DONALD SHINN
TE E
589-4645
SQ. FT. OCC. BUILDING VALUATION
J
. OWNER'S MAILING ADDRESS
28 SHAD CT OROVILLE 9596
CONTRACTOR'S NAME
HOME IMPROVEMENTS
TELEPHONE
CONTRACTORS MAILING ADDRESS
2660 WILLIAMS CT PALERMO
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
3150.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 63.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 40.95
BUILDING ADDRESS
28 SHAD CT, DROVITLE
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 123.95
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome K] 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 O Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: NEW DECK UNDER EXISTING AWNING
Gas piping stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service A 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 f'J c( Lic. No.L{_�_�, 6_� ^
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
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP,
OR ADDNS. ( a ACC. BLDS.
SO
3.52EW FT:
N"-RESD MULTI -OUTLET RANCH CIRCUITS
@7,50
POWER APPARATUS
& SINGLE OUTLET CIR.
Ex. OCCLI OUTLET OR FIXTUREs
20 BAL @ .50
.50
Ex. Occup. oFlx�e Aa oEEA.
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
Policy Number
(The above sections need not be completed 4 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.
— p
X CZ. Date p ' /�' 6
Signature of Applicant - ❑ Ow er ontractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEi_ $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 123.95
HA2
D FEES IMP
I FLOOD
CDF
PARCELPD
I HD
This permit is hereby issued under
of the Butte County Code and/or
indicated ab ve for which fees have
By
PERMIT PIRES
the applicable provisions
Resolutions to do work
been paid.
Date
(Da te
Receipt No. 5
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, CA 95965 Phone (530)538-7541 Fax (530)538-2140
JJ __ PERMIT APPLICATION DATA SHEET ``
OWNE r<ik^ ASSESSOR PARCEL NUMBER _� 6, V
Proposed Building Use: �. Counter Technician: Date:y ��
Items required in order t& apply for a permit. All boxes MUST be checked OR ma&d NA in order to apply.
1.. Plot plans, 3 or 4 sets, signedk the preparer of the plans.
2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot plan and business license approval from the City of Biggs ....................................
O,110. Letter of intent for non-residential buildings......................................................:..
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form:..............................................................................
❑ 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
❑ 15. Statement of Intent for Non -heated and A/C Buildings............................../..�
6. Sanitation and plot plan approval from the Environmental Health Department i�1 o
❑ 17. City of Chico Plumbing permit........................................................................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits.........................................................
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other:
When issued Telephone - and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
l r
Applicant: �r� �� 1 Date: �� �G� d -2-
1.
1. Index permit application for the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: _
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow Rnildino Divicinn
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' HAROLD L B.ILLINGSLEY
HOME IMPROVEMENTS
LIC #456565 B & C39
2660 WILLIAMS AVE
PALERMO, CA 95968
PHONE (530) 5345823
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14" x 147 MIN. FOOT i NG
48".
MAX.
GIRDER
FRMM b. —
CLIP = _
2"x4' -
MOBILE HOME
OR DEC.K-�
MTL. FRMW
CLIP (EA. DE
POST -
2'x 12'
4'X9" POST
- ADE-QU4TE DIAL, 0NA L
13RACING.
12" STAIR STRINGER. 4B'°.c,. MAX.
70P VIEW
HAUDRAIL NOT SHOWM FOR CLARITY.
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CLIP = _
2"x4' -
MOBILE HOME
OR DEC.K-�
MTL. FRMW
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POST -
2'x 12'
4'X9" POST
- ADE-QU4TE DIAL, 0NA L
13RACING.
12" STAIR STRINGER. 4B'°.c,. MAX.
70P VIEW
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NOTES
069-210-074 01-2755
PERMIT NO.._SHINN,.DON _
28 SHAD CT, OROVILLE
ADDITION TO EX GARAGE
9
II SPECIAL CONDITIONS 11
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
OFFICE COPY
Address
GAS ,
Meter By J�— Date r a7
TRIC
Me Rv
s3��
JOB FINALED (Date) 2�,
Signature
CHECKED
BY
V= OK
0 = Not OK
- = Not Applicable
= Not Ready
/
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
7.
1.
Zoning Requirements -Setbacks -Easements
8.
2.
Soils; Special MH Support Sketch
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
3.
Sewer; Location -Test -Fall -C/O -Concrete
5.
4.
Water; Location -Test -Easement Needed (Sketch)
Elec.; Enclosures; Conduit Entries -Terminals -Listed
5.
Electricity; location-Clearances-Grnd-/ /Amp -Concrete
8.
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
MISCELLANEOUS
Date D CKS, COVPK, CARPORTS GARAGES (Plans) OK except #'s
,b Z ng Requirements -Setbacks -Easements
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
rm Sills-Anchors-Studs-Rttrs-Trusses
iding; Nailing -Veneer -Stucco -Mesh
oof g -Roofing
/j xt.; Steps -Doors -Landings
12. Braced Wall Panels
Date 2 Card B-1 Date Card B-1
Dat
/'Nat. or/ /"L"ft./ /'LPG
Dae
7.
Well Clearance & Disconnect
Setbacks -Easements
8.
Utility Clearance
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
Date
Elec.; Enclosures; Conduit Entries -Terminals -Listed
Card B-1 Date Card B-1
Date
8.
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
12.
Permanent Foundation Only; License Decal
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date D CKS, COVPK, CARPORTS GARAGES (Plans) OK except #'s
,b Z ng Requirements -Setbacks -Easements
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
rm Sills-Anchors-Studs-Rttrs-Trusses
iding; Nailing -Veneer -Stucco -Mesh
oof g -Roofing
/j xt.; Steps -Doors -Landings
12. Braced Wall Panels
Date 2 Card B-1 Date Card B-1
Dat
Card B-1 Date Card B-1
Dae
FINAL (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, Distance-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
11. Light Niche
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
V= OK
0 = Not OK
- = Not Applicable = Not Ready
Date
RESIDENTIAL (;
Date
Hangers -Post Caps -Anchors -Connectors
Underfloor (Plans) OK except #'s
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng.
1.
Zoning-Setbacks-Easements-Flood-Slope
49.
2.
Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth
52.
4.
Fig., Porches & Decks; Soils-Steel-/ r Ftg. Depth
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
55.
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
Siding -Nailing Veneer
6a.
Hold Downs and Special Anchors
58.
7.
Slab, Steel-Wrapped
Shear Walls; Nailing -Bolts
8.
Piers-Fireplace Ftg.-Steel
61.
9.
D.W.V.; Fall-Fitting-Test-2 Way C/O-Sewer Test
Infiltration -Walls -Windows
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
Water Pipe; Test-Anchors-Regulator-Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance-Material-Support-Ins.
14.
Girders-Sills-Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
79.
Insulation -Foam -Looked in Attic
Date
80.
Card B-1 Date Card B-1
Date
81.
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent-Access-Combustion Air Baffle
18.
Water Pipe; Test & Anchor-Nail Protection
19.
D.W.V.; Test Fittings & Anchor-Nail Protection
20.
Shower Pan; Test, First Floor-Tub Access
21.
Test Tub & Shower, Second Floor-Tub Access
22.
Gas Pipe; Sixe & Anchors
88.
Ventilation Throughout House
Date
89.
Card B-1 Date Card B-1
Date
90.
Card B-1 Date Card B-1
Date
91.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance-Ins. Protection
24.
Elec. Receptacles Spacing-Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
Date
27.
Equip. Ground made up w/Mech Fasteners-Bond Gas & Water
Date
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Date'
29.
Subteed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
Comments at Final:
30.
Range Circle / / ga Cu or Al-Oven Circ. / / ga Cu or Al
Insulated Neutral ❑ Yes ❑ No
31.
Service-Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light-Shower Light-Spa Light
34.
Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace-Vent Access-Comb. Air-Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
40.
Sits Proper Materials & Anchors
41.
Walls Studs-Nailing Spacing & Braces-Plates-Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings-Stairs-Chasers-Tubs
45.
Headers & Beams-Size & Bearing
c
jingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wir. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor l7 Yes
82.
Following Instld./Drive :1 Yes ❑ No/Walks D Yes 0 No/Planters ] Yes ] No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date'
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 91-2755
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO, FT. OCC. BUILDING VALUATION
.OWNERS MAILING ADDRESS
C-1, OROVIT.I.E. 99966
480 U
8,640.00
CONTRACTOR'S NAMED
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
LENDERS MAIUNG ADDRESS
Fireplace
Total Valuation $
$ 0.00
ARCHITECT OR ENGINEER
LICENSE NO.
—FlingFee
$ 20.00
Permit Fee
$ 108.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 70.20
BUILDING BS
28 HAD CT, OROVILLEgy
Ener Plan Checking Fee
g
$
$
PERMIT FEE
S
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE
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 11 Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ADDITION TO EX GARAGE & RELOCATE PROPANE
TANK
Gas piping sy2tem 1 - 5 outlets
15.00 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
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
w 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.
❑ i, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
I 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
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.
X v� Date io v _ 0
Sig re of App icant - ❑ Owner ❑ Contractor ❑ Agent
SHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. s0
OR ADDNS. ( 8 ACC. BLDS. 3.50FT.
NEW µR61S . MULTI -OUTLET @7,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
:0050
EX. Occup. OUTLET OR PDRUREs S� @' 50
Ex. Occup. GFuc� RES1 ORNS S 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirin 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 2 33 3.20
�HA�Z-
D PEES IMP
CDF PARCEL HD
ISSUE
This permit is hereby Issued under
of the Butte Coun Code and/or
indic ab a fo which fees have
By
PERMIT EXPIRES ON
I
the applicable provisions
Resolutions to do work
been paid.
Dat
Le) 4Z
to
ReceiptNo...... 336769/$233.20
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
r�,g�w.w,;- iie�sgVlgW'Fdiri+Ca„ �� >�a'rx� �
.. .6r
COUNTY OF BUTT=DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: C ASSESSOR PARC ER:
Proposed BuflTmg Use:Building Inspector: Date:
At time of permit application, I fvks ad ed the following data must be submitted prior to permit Dr4cessiWgr a d/or issuance:
Date Received By
111. All items have been submitted.
02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
06. Energy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
08. Hazardous Material Form. ------------------------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications .-----------------=
es of $ ----------------------------
----------------------------------------
11
a s as shown on the attached schedule. ----------)-
P3Flood
-----------------------------------
lifornia Department of Forestry plan app al/fee -- elevation certificate. -----------------------------------------------------------------------------
-14. Sanitation and plot plan approval Health Department. --------------------------------
❑ 15. Cityof Chico plumbing permit. ------------------------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ------------------------------------
❑ 17. Planning approval for (A) Use: (B) Parking: ---------------
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------
020. Pre -inspection for required Request to Building Inspector on
021. Contractor's license information. (Number, Name Style, Classification). -----------------------------
0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------.
❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------
E124.
------------------------------❑24. Letter of signature authorization. --------------------------------------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------
❑26. Letter of intent on building use. ----------------------------------------------------------------------------
❑27. Manufactured Home utility clearance. ---------------------------------------------------------------------
❑28. Existing violations and/or expired permits. ---------------------------------------------------------------
❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ , ---------
030. Other
-------.
❑30.Other
;P,n you issue the 'tom, p/ro ess as follows ❑ Mail to,owner, ❑Mail to ntractor,
Tel hone'Tlp `f
eP and hold for pickup at !�I 'e office. ❑ Deliver with inspector.
Applicant:-&1L4At,^ Date:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building ' sio counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
(Date)
/d^ 2(0- 6
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1.- I personally plan to provide the major labor and materials for construction of the proposed
property improvement: YESX NO.o
2. I HAVE HAVE NOT 13 signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS: CITY:
PHONE:
CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS:
CITY:
PHONE: CONTRACTOR'S LICENSE NO.
I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER:
SOCIAL SECURITY NUMBER:
DATE: /U- O �_
NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit
OVER
OWNER BUILDER INFORitiIATION I
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as `owner -builder" you are the responsible parry of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
I rely,
Mic el C. Vi ira, C.B.O.
M ger, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code
OVER
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
OWNER'S STATEMENT OF USE - DETACHED ACCESSORY BUILDING
r -
PN: ONE:
occo ^al0 - n1
BUILDING PMT. #
OWNER: ti SGS / ti�
PHONE:
MAIL ADDRESS: ��$' � V( �t Ct C � ii r� ^a • \ � P rg
SITE ADDRESS:
PROPOSED USE: U7O V-C?q {�
v
PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-18) IN THE SPACE PROVIDED ON THE REVERSE OF THIS FORM. (PLEASE
PRECEDE EACH COMMENT WITH RELATED QUESTION #)
GENERAL INFORMATION:
1. Is there a primary dwelling on the property?
Yes: x
No:
2. Is the structure already built, under construction, or under notice of code violation?
Yes:
No:
k
3. Will items produced in this building be offered for sale?
Yes:
No:
�(
4. Will the public have access to this building?
Yes:
No:
1C
5. Will any advertising, on or off site, be associated with the use of this building?
Yes:
No:
k
6. Will this building be occupied at any time as a sleeping quarters?
Yes:
No. -
7. Will this building be occupied at any time as an eating area?
Yes:
No:
�(
8. Will this building be occupied at any time as a cooking area?
Yes:
No:
9. Will this building be occupied at any time as a living area?
Yes:
No:
SITE CONDITIONS:
10. Is the structure foundation within 5' of septic tank or leach lines?
Yes:
No:
11. Is any portion of the proposed structure located closer than 20' to your front property line? Yes:
No:
j(
12. Do you plan to add a driveway or modify existing access to a county maintained road?
Yes:
No:
13. Will the proposed structure encroach within any recorded easement?
Yes:
No:
CONSTRUCTION FEATURES:
14. Will this building have insulated floor, walls, or ceiling?
Yes:
No:
X
15. Will this building be heated or cooled?
Yes:
No:
�<
16. Will this building have a water closetttoilet?
Yes:
No:
17. Will this building have a sink?
Yes:
No:
18. Will this building have a water heater?
Yes:
No:
19. What type of floor covering will the building have?
20. What type of wall covering will the building have? ivu .v
ADDITIONAL INFORMATION:
I hearby affirm under penalty of perjury the above infromation is true and correct. I understand that any changes to the use, or character of use, of this building will
require permits from the permitting authority. 1 understand that Real Estate Disclosure laws require disclosure of this information if or when offered for sale.
c�Co A 14-2L-6 (
OWNER'S SIGNATURE DATE OWNER'S SIGNATURE DATE
FOR DEPARTMENTAL USE
REVIEWED BY: DATE:
COMMENTS:
UETAOCFR.waz - 07n7n998
t
7 069-210-074 99 0600
9-21
FkAN S -ON, R:ob ert,;F. r
29'Stiad Court, Ordvillc
Contr: Owner t
gas line'
c
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 7
ASSESSOR PARCEL NUMBER 059-210-074
ZONING RT +
BUILDING PERMIT
OWNER FRANSON RO$ERT F.
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
28 SHAD COURT, OROVILLE
CONTRACTOR'S NAME OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other GAS LINE
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:
Gas piping system 1 - 5 outlets
-15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zoOA 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,
will do the work, and the structure is not intended or offered for sale.
vC 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:
❑ 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
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 w" h those provisions.
s
X /` Date
Signature of Applicant -"O Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service POA TO lOooA
6.00
3.50 so NEW coNST. DwEwNG occuP. 3.5aF°.
O AD
oNS. (
MUL�Ti ou�nES.
NON-RESID. CIRCUITS
@7.50
APPARATUS
a SINGLE ourLer cIR.
1.00
Ex. Occup. OUTLET OR FIXTURES BAL 20 p I.50
FU(ED APPLNS.
Ex. Occup.ovrLErs REslo. OER w 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 3
HAZ.
D. FEES IMP
I FLOOD
I CDF
PARCEL
PD
I HD
I 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.
r•
By Date
PERMIT EXPIRES ON
Dade
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 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT q9 -
ASSESSOR PARCEL NUMBER 069-210-074
ZONING RT -
BUILDING PERMIT V
OWNER FRANSON, ROBERT F.
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
.OWNERS MAILING ADDRESS 28 SHAD COURT, OROVILLE
CONTRACTOR'S NAME OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $
$
PERMIT FEE $
LAT NO.
SUBONISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other GAS LINE
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:
Gas piping stem 1 - 5 outlets 1
15.00 15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
800V OR UE
Main Service 20 AOR 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.PowEL
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.
00 I, as owner of the property, am exclusively contracting with licensed contractors
X 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
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
fo hwith comply w' those provisions.
L� -� G,
X / �� Date 7 — l -`
Si nature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO IIOOA 46.00NEW
CONST. DWELLING OCCUR SO
OR ADDNS. ( & ACC. BLDS. 3.5¢FT;
NEW ONN-R610 MULTI -OUTLET @7 50
APPARATUS
as1NGL EOLmFT CIR.
.00
EX. Occup. OUTLET OR FIXTURES SAL @ I.,50
APPLINIS
Ex. Occup. ouTLEEis R D.OEA
5.00
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wiring23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 3
HAZ.
D. FEES IMP
I FLOOD
I COF
PARCEL
PO
I HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated bove for which fees have been paid.
�t
By �41bto c�
W IF
PERMIT EXPIRES ON � 3i SO
(D. d.)
ReceiptNo. 1
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
•� w r -COUNTY OF BUTTE' {
BUILDING DIVISION'
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA •'.(530) 538-751,1
,I
CORRECTION NOTICE
WNER r PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately. 4
r / r r e
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1 REVIEWED BY
1 BUTTE CO. FIRE DEPT.
CALIF. DEPT. of FORESTRY
[] approved as submitted
fLQ approved wit condi+tions
Y atta ' d s feet. 10 f
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JSiarature Date .,
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APPR
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1 REVIEWED BY
1 BUTTE CO. FIRE DEPT.
CALIF. DEPT. of FORESTRY
[] approved as submitted
fLQ approved wit condi+tions
Y atta ' d s feet. 10 f
L S �ti l
1 t
1 l
ES PND EQU OF Aj-
Pt4tvc
sJp-L �� c1-EA� �E S1��D
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a :3F®veRVA O.
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c�1 q CDF FIRE SAFE REQUIREMENTS m
AP# PERMIT # NA E
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and will be superseded by Butte County
local regulations which equal or exceed these standards. Field
inspections will be made by the Butte County Building Department for
compliance.
1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided for in these standards, annual maintenance
must be provide for by the land owner.
Driveway Standards
[�1 1273.02 Surface. All driveway surfaces and structures (bridges,
II 1273.07 culverts and other apparte:lant structures which supple-
ment the roadway bed or shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire apparatus weighing up to 40,000
pounds.
[Y 1273.03 Grade. Not to exceed 16 percent unless paved.
1273.04 Driveway Radius
1. No roadway shall have a horizontal inside radius of
I curvature of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
[ 2. The length of vertical curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 100
feet.
[�] 1273.05 Turnarounds. If required, will have a minimum turning
f_ radius of 40 feet from the center of the road.
] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30
feet long with a minimum 25 foot taper on each end.
] 1270.10 Width. All driveways shall provide a minimum 10 foot
traffic lane and unobstructed vertical clearance of 15
feet along its entire length.
Page 1 of • 3--,
I
i,
� AP # PERMIT # NAME
[X1 1273.10 Turnouts. Driveways exceeding 150 feet in length, but
less than 800 feet in length, shall provide a turnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart.
[�J 1273.10 Turnaround. A turnaround shall be provided at all
I building sites on driveways over 300 feet in length and
shall be within 50 feet of the building.
1273.11 Gates
1. Gate entrances shall be at least two feet wider than
the roadway it serves.
[Ya 2. The gates must be'located at least 30 feet from the
roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
3. Where a one-way road with a single traffic lane
I provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
[ J 1. All parcels 1 acre and larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildings from all property lines and/or the center
of the road.
[x] 2. For parcels less than 1 acre, local jurisdiction
`` shall provide for the same practical effect. See
Other Requirements below.
[� 1276.02 Disposal of Vegetation and Fuels. Disposal, including
chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation and fuels caused by site development and
construction, road and driveway construction and fuel
modificatior shall ba completed prior to completion of
road construction )r fi:ial inspection of a building
permit.
Page 2 of 3
AP # PERMIT # NAME
Other Recruirements
9K If Building Setback is 15 to 30 Feet:
- Class A or B roof
- Enclosed eaves
If Building Setback is Less Than 15 Feet
Choose any 3 of the following:
- Metal or no doors on side toward property line with insuffi-
cient setback
- Class A or B roof with enclosed eaves
- Interior automatic sprinkler system per NFPA 13D
- Glass area not to exceed 10% of wall area toward property
line with insufficient setback
- Siding from the following list:
Stucco - 3 coat
Hardi-Board or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials
Date Signature
Page 3 of 3
St
4,1
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APPROV
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MMING DEPARTMf
APPROVE
D;
i
PERMIT NO.
.6'53=83B,E
PERMIT EXPIRES
OWNER BILL O'KEEFE
CONTR. owner
ASSESSOR PARCEL 69-21-74
LOCATION. 4—
s
r
a
�1
4'
3
Temp._ Power Pole_
Called PG&E _
Temp. Elec. Service
Called PG&E_
s
Temp. Gas Service _
Called PG& E
JOB
FINALE[
Signature
d- = - OK i
0 = Not OK
— = Not Applicable MOBILEHOMES MISCELLANEOUS -
* = Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except a's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s-
1. Zoning Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
1, Zoning Requirements—Setbacks—Easements
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.—Rig.—Bracing_
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
_
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
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 Card -BI Date
Card -BI
_
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1• Zoning Requirements—Setbacks—Easements
Date
_
POOLS (Plans) OK except N's
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. Elec.; Enclosures: Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/0 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
Mi
10. Plumb; Cir. Test—Water Supply Test
Card B -I
Date Card -BI DateCard-BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
0 = Not OK
= Not Applicable = Not Ready RESIDENTIAL '(!Angle and Duplex)
Date
UNDERFLOOR Plans) OK except #'
Date
FRAMING (Continued)
requirements -Set s -Ea nts
48
pings
2.
Ft %., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
oors=One 3' -Check Garage -3rd story, 2 exits
tg., Garage; S -Ste - Ftg. Depth
50.
- ise-Run-Landing-Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
ang-Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
0 Siding aili -
53. S`ue&o need,-DtLp cr•reed-Fdn. Vents-Underflr. Access
-
_
7.
8.
Piers -Fireplace Ftg.-Steel
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
54.
55.
rotection-Sky lights-Plast ic
6left Wells, Nailing Bults
9.
Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric: Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
C•�i-B1-
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL lans) OK except #'s
Card -BI \F_ Date Card -BI Date
Date
-
PLUMBING (Permit) OK except #'s
14. Water Ht.; Vent -Access -Combustion Air
5
xt. Steps -Door & Sidelight Protection -Landings
57•
�I
58. Furnace; Vents -Clearance -Comb. Air -Connector -
In Gager A ovGvee Flo-or-Ducts-Mech. Protection
59._aeidcoom_Exiting
15. Water Pipe; Test & Anchors -Nail Protection
16. D.W.V.; Test-Fttngs & Anchors -Nail Protection
17.
Shower Pan; Test, First Floor -Tub Access
60.
G. & Tub Access
18.
19.
Test Tub & Shower, 2nd Floor -Tub Access
Gas Pipe; Size & Anchors
6
ec. Trim & Subpanel; Breaker Sizes -Labels
62•
Staicc-&-Ae "
-
- -
63.
arances-Hearth
64:
t ets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
6
t- & ppliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66?'E
L� u e"Q is &-2ceptacles at Kit. Counter
Date
ELECTRICAL Permit OK except #'s
67.
wing -Landing -Closer
68,
a -Da er
--
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; earance-Comb. Air-Connector-P.R.V.-
rage; Above Floor-Mech. Protection
_-
21.
Elec. Receptacles Spacing -Lights & Switches at Doors
70.ec
quip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
7
. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
ked in Attic ❑Yes
73.
G onstruction-Post Caps
-74.
25.
26.
2 Appliance Circuits in Kitchen & Conductor Size
Subieed Wire Size r / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al'
Fdn. Vents &ole Door -Drainage & Wood -Earth Clearance
Lo c under Floor ❑ Yes
-_
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
75.
76,
rive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
rown- inis
-
_
28.
29.
Service -Riser Conductors & Ground -Main Disconnect
Equip. Clearances; Panels-Motors-Mech. Equip.
77,ct-Clrnces-Brkr.
78,E
& Cond. Size -115V Outlet
-Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
- 30. Clothes Closet Light -Shower Light -
----------------------
---
79.-4<�'D'tnnect,
Electrical, Plumbing
Card B -I
Card B -I
----
Date -_--_ Card -BI -_ Date
Date Card -BI Date
80.
. rim; G.F.I. Receptacle -Underground
81,
ug out House
82.
GI
Date
MECHANICAL (Permit) OK except #'s
31. A.C. Ducts: Insulation &Support
83.
_
Gasesiieme-+ro PPrevious Inspections
84,
gged; Gas -Electric
85.
86.
Watep* ewer@onnected-C/0 to Grade -HD Approval
rtificate-Other Certificates
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
----
Card -BI
Card -BI
Date
----
- -- -- _ _ ----__---__--_
- Date - - Card -BI Date
Date Card -BI Date
FRAMI Plans) OK except #'s
C I
ate / Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Comments at Final:
_-
S�iI*,'P oper Material & Anchors
_
3
Studs -Nailing, Spacing & Bracing -Plates -Sound
e_armg Walls over Girders & Floor Nailing__ -
op in Walls (rat proof)
40
_ urred Ceilings -Stairs -Chases -Tub
42.
3.
45
4
47.
eader & Beam -Size & Bearing_
tgers-P_ost Caps -Anchors -Connectors
g. Joist-Rftr. Ties-Purlin-Roof Brac.-Td Shthnq.-Rfnq.
p ac i Iue-Fireplace Throat
c omex Protection -Draft Stop -Ins. Baffles _
ding Doors -Sill Hgl. & Dimensions
ing
(NOTE: Anentry must be made each time you visit job site)
X
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Ctalifornia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR P CEIj NUMBFXR
_714
ZONITZ
BUILDING PERMIT
0S
3 7
Q.FT. OCC. BUILDING VALUATION
fS�Q.
✓ � /L"//
MAILING ✓/`T/7/•^�_
ADDRESS
CONTRACTOR'S NAME ^ /
/U
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDE
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING AD RESS
Permit Fee
$ yp, 00
ARCHITECT OR ENGINE7R
LICENSE NO.
Plan Checking Fee
,$'< co
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 6'5-,00
BUILDI.NG.,5Ci[ADDRESS�
/4J S
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
2OG
sUBDI ISION
G/
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 PAY ' �A�G�
SPECIFY
Building sewer
5.00
Mobile Home S G W
0-00ea
TYPE OF WORK
New [Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service ;000 AMP ORV OR LESS10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST.DWELLFIN G &
OR ADDNS. ACC. BLD
2ftsgff
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
,� License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR.ULT.-OU L T
NON-RESID BRANCH CIRC ITS.
2.50 ea
NEW CONSTR. POWER APPARATUS &
NON-RESID. SINGLE OUTLET CIR.
Ex. Occu P�OUTLETS OR FIXTURES
20e50a
BALI 300
FIXED APPLNS. OR
EX. OCCUp. OUTLETS (RESID.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ 2 ,
Contractor
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
�ononst 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.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabi ities, judgments, costs, and expense which may in a way accrue
aga' id urtity in cons uenc f he r ing of this pe '
X , Date
Signature of Applicant — ner ❑ Contra or ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over stories in heig ht.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ Q
OCCUP. GROUP
I TYPE OF CONST,
I PPARCELI
PD
HD
193U
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PVPLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date_4�j 7E3
— Z --
p3
Receipt No. 6Zo77
WHITE-D.P.W., YELLOW-ASSFSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
v
util. MH 1717-76P,E
PERMIT'NO.
_
(- PERMIT EXPIRES
OWNER Lowell B. Bir i
CONTR.---,e- owner
LOCATION (A.P. 34-73-74
28 Shad Ct.,;lot 281, RR#3, Oroville
4
l�
{
Temp. Power Pole
Called PG&E
Temp. Elec. Serv. �, 7-
Called PG&E J -7' 7�
Temp. Gas Serv.
Called PG&E
JOB"
FINALED 4'Z 72 -7(— s'- 7 - %�
(Date)
(Signal e)%
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) I PLUMBING_
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
' Slab
Roof Sheathing
Water Piping O
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTR
Masonry Walls
Throat
Rough
ou hReinf.
Reinf.Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
_
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
BATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements °
of the California Administrative Code, Title 25, Chapter 51 under permit
number. 2-L-2- %6 for the following location:
4 ,
Owner,Z n A c // l3
Owner's Address
Mobilehome Mfg. M 12 i1 t-'t-fd f�� ��� Model Year 7
Insignia No. -1--4$ Serial Noy -*2) 3 '? A
It is hereby certified for occupancy at the above described location and
,may be occupied.
Director of Public Works
Date �� + By 9 ��/��
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS R LOCATED
9. Electrical 1-
A. Is service large enough to provide adequate amperage. •to mobilehome (must equal rating of
mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps,
garage, cabana,, etc,? Yes "o
B. Is there proper clearances around panels? Yes k ---No
C. Is power supply cord or feeder assembly properly fused? Yes.` No
Is continuity test satisfactory as per, the following. procedure? Yes_ No
-1. De -energize electrical wiring system of the mobilehome at the pedestal.
2. Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected,
3. Switch all breakers and switches in the mobilehome to the "on" position.
4. Connect one lead of a test. instrument to the mobilehome grounding conductor and
apply the other 'Lead to each mobilehome supply conductor, including neutral.
5. All non-current., carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6. Upon completion of the above procedure, the power supply cord or feeder.assembly
conductors. shall be connected to the site service equipment. A further continuity
test shall then be made between the grounding electrode and the chassis of the
mobilehome. Upon satisfactory completion of the electrical tests, the lot or site
service equipment may be approved for energizing.
10. Is job card signed by Health Department for water and sanitation?
11. If everything okay, sign off card and tag services.
MOBILEHOME DATA '`� ,
Manufacturer and/or Namestyle ou till ' a r
Length ly0 Width Z�
Vehicle Serial No.
State Identification No . 7443 86 ` `f7
Additional,Informati_on or Comments:
'Olfr /� c 22 t ' GC iG S 7``t / /1
17
y�;
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1. Is the mobilehome located'wjth*required separation from lot lines and buildings and generally
conform to plot plan? Yes No
2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No
3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes "0" No
4. Is the mobilehome level? (Sec. 5088) Yes N6✓'
5. If more than a single unit, are crossover connections properly installed? (Sec. 5088)
Ye s -_L --N o
6. Water
A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes "" No
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yeses No
C. Backflow - If coach is not State,of California approved, does station have backflow device
and pressure -relief valve? Yes No Q
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes ` No
B. Does it have minimum 4" per foot slope and is it properly supported? Yes 4__1 No
C. Are any leaks detected in drainage system after running 3 -gallons 'of water throughr•each
fixture including washing machine standpipe? Yes No
D. If coach is not State of California approved, does station have required trap and vent?
Yes No %, w
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply, with an proved 3/4" minimum
mobilea\the
me connector not more than 6 ft. long? 'Note: All ping is to be at least as
large mobilehome gas line inlet without reductio other than the mobilehome
connectoYes No
B. Test OK as per ollowing procedure? Yes_ No
1. Open.all apple ce connector valves.
2. Shut off appliance bu r and pilot aloes.
3. Air test with manometer, to 10 4" water column,• or,test with slope gauge (minimum
6oz.-maximum 8 oz.) calibra d in enth pound increments. Test for 10 min. without
drop.
4. Connect gas meter to obilehome with connector, turn on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? Yes No
' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ^^
r 7 County Center Dive — ' Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
aualul ' J;Pica cnlauvca UI LIM I,UUIIIY UI DULLU tU V11tttl UJJU11 1110
above-mentioned property for inspection purposes.
X Date S -
Signature of Permiee a;Aqnt -
Receipt No.
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 be paid.
DIRECTOR F UBLIC WORKS // /
By Date i to % b
wilding permit expires Date _ 7
BUILDING
Owner L W,,5 G /Z
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor S G f%.�//j�0%2-Total
Valuation
Mai I i ng Address �O EL �i9P/Tititi/
Permit Fee
Plan Checking Fee&/or Penalty
ry
AIA
Telephone No. 0%
Permit Fee
Building Addres; �-• �
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. ��'
Zoning &Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F2kT
go 10
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im r oveme
p nt
Lawn sprinkler system 2.00
BIS9. Plans Rec'd
Parcel Approval
Plans proval
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
7—/ OAl -v r 1E:;,r ►-t iT,9 / 74
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures b I a2
Receps., switches & fix outlets 20025
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:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Z���Classification
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
®I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit ,is issued I shall not employ any person in any manner
so as to become subject to the Workmen's CompeCsation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating.
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and .State Laws relating to building construction, and hereby
AAeJar1Z O E .SlS7' ' LG.a7"ip
Fj —
TOTAL PERMIT FEE
$ 30
aualul ' J;Pica cnlauvca UI LIM I,UUIIIY UI DULLU tU V11tttl UJJU11 1110
above-mentioned property for inspection purposes.
X Date S -
Signature of Permiee a;Aqnt -
Receipt No.
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 be paid.
DIRECTOR F UBLIC WORKS // /
By Date i to % b
wilding permit expires Date _ 7
71LE MEMO
OWNER o L,0 e G / i3 - 81 `G ; no AP NO. 71V
At time of permit application, the applicant was advised the following data or information
must be submittedpriorto permit processing and/or issuance:
vdp1. A11 items have been submitted
2
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
Plot plans in duplicate/triplicate.
Complete plans in duplicate/triplicate.
Complete engineered plans and calcs.
Fees of $
Letter of signature authorization.
Sanitation approval.
Planning approval
Workmen's Compensation Insurance Certificate.
Contractors license information.
Parcel declaration.
Access declaration.
Aunt Minnie information.
Deed of access.
Deed of parcel creation.
Parcel map.
Pre -inspection request for
Other
By Date
Bldg. Inspector
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When permit is issued, process as follows:
1. Mail to owner.
2. Mail to contractor.
3. Deliver with inspection.
4. Telephone and hold for pickup.
5. Other �% T
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During plan checking process, the following data or information must be submitted prior to
permit issuance:
1. Index permit for items numbered above.
2. Applicant.advised by telephone we need
3. Send letter to applicant. We need
4. Pre -inspection for
5. Other
NOT verified. (Index)
z,,�6. Plans chid- and/or appra&ed-by Date
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Additional Processing or Notes:
DIOBILEHOME SUYYUK•1 DATA
Mobilehome Mfr. . f D4Wr,41A.1
Setup Model No. 201?tom
Width
I J`
24 (ft.) Length6V A jr7—at,,�
Expando Size ft.x ft. `
(Draw support details below)
On all
mobilehomes manufactured after October 7,
1973, furnish manufacturer's installation
manual
and structural setup sheets (if not on file with the County of Butte).
S
Footings--(check.one,
RM
/✓ l-. Wood'either
pressure treated or
i
Center
Center Support
fdn.`grade.:
Support
Locations
Footing Sizes
(in.)1
/_,L 2. :Concrete pad.
/•�' �O
2y x3'O
/ / 3. Other, `specify
. in.(in.)
.in.
Supports (check one;
/ Concrete block
Yo
�4Tx�0
2. Concrete piers
3. Steel piers
:...-..
. ..........
4. Other, specify
...
....
........
...
Typical Support
k Footing Size
f£� in .
.(in.)(in.)
44
Max. Pier.
Rn.
.....
......
-
SP ac.ing
in.)
in.oft.
(in .) (in .) %
I
D
Max •
-_
/ - Overhang
in. .
*If center
piers are other than drawn above,
BUTTE COUNTY
draw in
locations, spacing, and dimensions.
BUIONG DEPARTMeNT
PPP�����
BUTTE COUNTY DEPAR I -'OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. • Owner -'s -name: O (ij/ 8 0//�G/ �! L 417- Z. - +3
2. Installer's name::: Co4/rA/4:!F-1Z0.S MOAF/44 7-
3.
3. Is the site currently under permit? Yes / / No
( If yes, furnish permit number / 7/ T ' 76 ) OR
Is the site an existing site? Yes / / No
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome be located'at least 5 ft. away from septic tank and leach fields and
clear of all setbacks and easements? Yes/ No
( If no, clarify )
5.
What is the mobilehome electrical rating? -----------------------
Z d D
Amps
6.
What is the mobilehome site service rating? ---------------------
Z D D
Amps
7.
What is the mobilehome site circuit breaker rating? -------------
0 O
Amps -
8.
Is there any other electric load to be served by the mobilehome
site service? --------------------------------------------------- Yes / / No --�U
(If yes, identify the load and size: (Load)- - (Amps)
9. What is the mobilehome site gas pipe size? ---------------------- (in.)
10. What is the type of gas service?. -7 --------------------------- Natural./ / LPG
11. What is the gas ---pipe length from meter or tank to the mobilehome? (ft.)
12. What is the mobilehome gas demand? ------------------------------ �- (BTU)
(This information not -required if pipe length.less.than 6 ft. on natural.gas.
or'less than 50 ft. on LPG.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOPIM
7 County Center brive Uroville, California 95965
76_
Telephone: 534-4541 / %/—�7APPLICATION AND PERMIT/
auuwrlce reNresehtauve5 of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X /3 Date6
ignature of
PPermitteee oor^�7gent --
Receipt No. ) S- L
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 p'
DIRECTOR OF U LIC WORKS
BY Date —4-46-74
B ding permit expires Date 7Z
BUILDING
° °
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Ad ess�lja
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
PI an Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address e-
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water pipingZOP 06
,
rr Ji •
Each gas water heater or vent 1.50
A. P. No�j� •�
%2 Z ��n� P
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F k -sl
WV.'
n
Fire Dept.
Fire Zone
Use Permit
Building sewer 0.09 10.00
EQA
Parking
Plans
Parcel
Declaration
parcel Ma P
60' R/W
ImprovementsLawn
sprinkler system 2.00
Bldg. ans Recd
Parcel royal
PI s Approval
Permit Fee $ ZS I W
$ Z ®C
NEWADDITION
❑ ❑ UTILITIES OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE J$3.00 5,(90
Main service 1001 OR 000 AMP ORLESS5.00 �Ip
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD -L. 100 AMP 1.00
SOO —�
�! _
6 �/► L �� �_ f
NEW CONST. ( DWELLING OCCUP. &
OR ADDNS, 1 ACC. BLDGS. 20sgft
_)
NEW CONSTR. MULTI -OUTLET
NO N.RESID, ( BRANCH CIRCUITS) 2.50ea
NEW CON ST R. (POWER APPARATUS &
NON .R ESI D, 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
Ie
St Of:
Y
Ex. Occup (ouTLErs OR FIXTURES) BAL C,t
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RE31D.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 t5,Q0
Lice se No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ f
$
WORKMEN'S COMPENSATION INSURANCE
1 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.
MECHANICAL No.1 @ I FEE
J
/d
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$
auuwrlce reNresehtauve5 of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X /3 Date6
ignature of
PPermitteee oor^�7gent --
Receipt No. ) S- L
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 p'
DIRECTOR OF U LIC WORKS
BY Date —4-46-74
B ding permit expires Date 7Z
FILE MEMO
OWNER ot R -6t &I AP NO. �`r r 5 �¢
At time of permit application, the applicant was advised the following data or information
must be submitted
prior to permit processing and/or issuance:
tV 1. All items have been submitted.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
Plot plans in duplicate/triplicate.
Complete plans in duplicate/triplicate.
Complete engineered plans and talcs.
Fees of $
Letter of signature authorization.
Sanitation approval.
Planning approval
Workmen's Compensation Insurance Certificate.'
Contractors license information.
Parcel declaration.
Access declaration.
Aunt Minnie information.
Deed of access.
Deed of parcel creation.
Parcel map.
Pre -inspection request for
Other
By lllAil.cr Date
Bldg. Inspector
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When permit is issued, process as follows:
1. Mail to owner.
2. Mail to contractor.
3. Deliver with inspection.
4. Telephone an hold for pickup.
5. Other � �
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During plan checking process, the following data or information must be submitted prior to
permit issuance:
1. Index permit for items numbered above.
2. Applicant advised by telephone we need
3. Send letter to applicant. We need
4. Pre -inspection for NOT verified. (Index)
5. Other
6. Pla�cked and/or approved by _
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Additional Processing or Notes!/�`� `
Date
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This set of p
laps MUST be
kPp'` on the jol� at all +ime5 and it is unlawful to..
r n�r.n C!nV clIr;ncies or clltPrntlons on same without
written permission from the Department of Public
Works, County of Butte.
NOTE:—fall Materials & 'Workmanship Shall Be in
Acccrc race with R coolized Good Practices and
p¢ a ciunlity nre.yS r:�oA •for the Snec;4-,PA use in the
Uniform Building�'!um°oi ,g & Machanical Codes and
the National Electrical Code.
a
SCALL
E�
{}, from .
The l Se}br..ck shall be t. from /
roperiv line and 1i
the side P . ermittin^
the centerline of the rWc'd� .P
of a 2 ft• eave overhang•
amaximum
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NI_T_i17-�7.0ME-
LOT 281_
UNIT 3
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, (7�:e ions shall be
E -. o�izsia°.r the rear
1...�,-,.;,�;. •rs%'-...�
}lei f.1n-7r,ri �q ;he rncbile home
L on the 9e�t (,:ccl) side of the mobile
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Sacramento, California 95815-
Li o stmov
NC. (916) 92 7-2541
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Z.
AWNINGS Distributors of Quality Mobile Home Exterior Accessories
Air Conditioning
CONTRACTOR'S LICENSE
.No. 299582
ww=
1717-76
zl�-73-7`y
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'DLO 0 C., Ito h -u -cc 6cu,
Ab
2490-�36��
PEVIT NO.
PERMIT EXPIRES
OWNER Lowell Birgin
CONTR. B & D Industries, Inc., Sact�o.
LOCATION (A.P., 34-73-74
28 Shad Court, lot 281, KR#3, Oroville
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
C Called PG
Called
led
Temp. Ga erv.
Ca ed PG&E
B
'FINALED
i ature
Mesh
COUNTY OF BUTTE _ DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
Setback �'" ��'
Firewall
Soil PI Ing
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwaII
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers -- Z
Roofing
Sewer.
Garage
Fdn. Vent9
Fix -tures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping &Test
Temp. Gas
Slab
Final
Sanitation
Patio
1 EPLACE
Final
Footings
Footin •
• ELECTRICAL
Masonry Walls
Throat
Rou h
Reinf. Steel
Final
Fixtures
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE REMARKS OR CORRECTIONS
� g = Z�•-�G f
ASC_j
Ad
�
y KCZ
/VOrG X40
'(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE -' DpPARTMENT OF PUBLIC WORKS
e 7 County Center Drive — oroville, California 95965 �� ^//
Tel ephon�: 534-4,541
6
APPLICATION AND PERMIT ci J
BUILDING
Owner Mr. Lowell Birgin
SQ. FT. OCC.1 BUILDING VALUATION
200.00
Mailing Address 28 Shad Court
Or®villa CA
Telephone No.
Fireplace
Contractor B do D Industries Inc
Total Valuation 80.00
Mailing Address 2 Evergreen St
Permit Fee
Fee
Planit
ng Fee&/or Penalty
Saeto., CA 95815
TeJppt}gy�,�lp.l
`7��G(i�G77(�
Permit Fee .
Building Address 28 Shad Court
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Lot 281 Unit 3
Each Trap 1.50
Oroville, CA
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
'3 _ 2 ^ 7 q
A. P. No.
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W.C.
6el�i-ta4+ef�
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
arkinEQA PPlans Declaration
Parcel Map
60' R/W
Impro ements
Lawn sprinkler system 2.00
Bldg. Plans Recd
Porcel Approv
Pla Approval
Permit Fee $
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE J$3.00
Awning and covered deck
Main service jp0 AMP 1V OR LOR ESSLESS 5.00
Main service EA. ADD•L loo AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD•L loo AMP 1.00
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGS.CCUP, &) 20sgft
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:
B & D Industries, Inc
Ex. Occup(OUTLETS OR FIXTURES)50 @25C
BAL@1
Ex. Occup.FIXED APPLNS, OR
( OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No�99582 Classification L' 61
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
s
WORKMEN'S COMPENSATION INSURANCE
1 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.
&Ihave placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
El I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No.1 @ FEE
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
informa 'on Is correct. I agree to comply to all County Ordinances
and At Laws relltij g to building construction, and hereby
TOTAL PERMIT FEE
�ry
O UI UIC wurliy UI dune w enter upon the
abo mentioned prope . for inspection purposes.
X Date
Signature of Permiiteeeeoorr Agen j�
Receipt No. L 7 > a
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 PIbLIC WORKS
By — Date_ J �!(f, % 6L
B Illding permit expires Date —
t
PERMIT NO. 2745-76B
PERMIT EXPIRES
OWNER Lowell Rirgin
CONTR. B.& D Industries, Sacramento
LOCATION (A.P. 34-73-74 )
28 Shad Ct., lot 281, Unit #3, Oroville
Temp. Power Pole
Call,edPG&E
Temp Elec. Serv.
ailed PG&E
T p. Gas Serv.
Called PG&E
JOB
FINALED �-/ C /'3 _ 3o-
7(,
(Date)
(Signal e)
COUNTY OF BUTTE — DEPARTMEWT OF PUBLIC WORKS
BUILDING INSPECTION -RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
Setback Zg ' '%
Firewall
Sol I Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwaIl
Siding
To out
Slab
Roof Sheathing
Water Piping,
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwal I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov, for physically
handica ed
Conformance of ex.
structure
Appliances
Gas -Piping& Test
Tem . Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings 5 Z t
Masonry Walls
Reinf. Steel
Stucco
Mesh
Scratch
Brown
Finish
Interior Latl
Door Closer
DATE
Foot
F
MECHANICAL
Heating
Cooling
Ducts
Ventilation
Final
REMARKS OR CORRECTIONS
"2 76',
d z -r which T7
IV"
f( 74Y
I I I
Motors
GFd. Fault Prot.
Service
Temp. Pole
Underground
Permanent
Final
(NOTE: An entry must be made on this form each time you visit the job site.)
ELECT
M
COUNTY OF BUTTE — DEP4,RTMENT OF PUBLIC WORKS
7 County Center Driye..- %UroviIle, California 95965
' Telephone: 534-4541
APPLICATION AND PERMIT
Signature of Permite/e,or Agent
Q /
l `� % / f BY Date
Receipt No. lD to /zz
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date
BUILDING
Owner mr. lowell Bir in
SQ. FT. OCC. BUILDING VALUATION
Mailing Address 28 Shad. Court
b ieu 2480. 00
Oroville CA
Telephone No.
Fireplace
Contractor$ & D Industries Inc
Total valuations
Mai Iing Address 2 Evergreen St
Permit Fee
Fee
Plan Checking
ng Fee&/or Penalty
Sacto• CA 95815
T§lea7a2 q,
Lz 1
Permit Fee $
Building Address 28 Shad. Court
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Lot 281 Unit 3
Each Trap 1.50
Orovillep CA
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fl
ees
W.C. Qae�
FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
ParcelLawn
Declaration
Parcel Ma p
1 60' R/W
Improvements
sprinkler system 2.00
Bldg. Plans Rec'd
Parce Approval
Plans Approval
Permit Fee $
$
NEW ZI ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
Awning
Main service 601V OR 100 AMP. SLESS 5.00
-OR
Main service EA. ADO'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home JJ Others ❑
Main Main service 100 OVER
EAMP OR LESS 25.00
Main service EA. ADD•L 100 AMP 1.00
NEW CONSDWELING
OR ADDNST ( ACCLBLDGS.CCUP.
9 2¢sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS &
NON -RES 0. 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:
B & D Industries, InC
Ex. Occup(OUTLETS OR FIXTURES) BAL@1 04
FIXED APPLNS.
Ex. Occup. (OUTLETS ((RESID )REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. 299592 Classification C-61Misc.
Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
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.
C� I have placed on file with the County of Butte a certificate of
!a Workmen's Compensation Insurance.
F1I 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. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and ate Laws relating to building construction, and hereby
untyof Butte to enter upon the
abtion purposes.
auff7Vf!f
X--� — . �C
TOTAL PERMIT FEE Is
Thispermit 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.
DIREC40R OF PUBLIC WORKS
Signature of Permite/e,or Agent
Q /
l `� % / f BY Date
Receipt No. lD to /zz
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date