HomeMy WebLinkAbout069-240-018Oro Ridge Properties
6045 Kanaka Ave., lot 248, KRAB,
`\ Oroville
contr: Kelley & Kelley, Oroville
Permit #862-81B,P,E,M(new single
family 4.
07/il
IL40V g4el4f�J 69-24-18
ZD2 Rn TEGGE
,6'045 Kanaka, Oroville
Contr -,Cornelius &Sons Inc, Paradise
Permit#439783B.(,free-standing wood
stove/SF)
69-24-18
Contra. Joe Fillippe.11i,
Permit��996-83B(add deck/SF)
69-24-18
ConTR:, Economy Bldrs y
Permit#2530-89B(deck cover)
•69=24=18 926-91B
TEGGE,• Edward
6045 Kanaka A..ve,.Oroville
Cont: R.L.:Ames
(replace deck cover/sf)
069-240-018 7 05-2532
CARRILLO, TOMAS & JUDITH
6045 KANAKA AVE, OROVILLE,
Cont: GEOGRE ROOFING
RE ROOF
C� � N �
■�
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538.7541
PERMIT NO.
BP052532
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
Issued Date: 09/20/2005 APN: 069-240-018-000
effect.
License Class: C-39 License Number: �sa eL(o�p
Date: — 3 -dS Contractor. CilSite
Address: 6045 KANAKA AVE ORO
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Description: REROOF W/COMP (37)
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
Owner: CARRILLO TOMAS & JUDITH H LIVING
signed statement that he or she is licensed pursuant to the provisions of
TRUST
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
CARRILLO TOMAS & JUDITH H TRUSTEES
she is exempt therefrom and the basis for the alleged exemption. Any
6045 KANAKA AVE
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
OROVILLE, CA 95966
O I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
Applicant: GEORGE ROOFING
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
6810 LINCOLN BLVD
proving that he or she did not build or improve for the purpose of
sale ).
OROVILLE, CA 95966
O I, as owner of the property, am exclusively contracting with
(530) 533-6393
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Contractor: GEORGE ROOFING
O 1 am Exempt under Article 3 of the Business and Professions Code
6810 LINCOLN BLVD
Date: owner
OROVILLE, CA 95966
ORO 533-6 C
93
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
O I have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
License #: 452266
Labor Code. for the performance of the work,for which this permit
is issued.
I have and will maintain workers' Compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
Architect:
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Engineer:
Carrier: A&4&
Policy #: a ?2 - 5 9 w
Total Square Ft: 0 S. F.
O 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
Valuation: $0.00
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
Census Code:
compensation provisions of Section 3700 of the Labor Code. I shall
forthwith comply with those provisions.
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section .3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Code andior
I hereby affirm that there is a construction lending agency for the
Resolutions to do ork ' dicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)14)
eZ
Name:
By: Dale: CJ
U 16
Address:
PERMIT EXPIRE O (0
Daf
O 1 hereby certify that the use of this facility shall comply with Sections 25505. 25533, and 25534 of the California Health and Safety Code, which regulate the storage.
handling and use of hazardous materials.
O • Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
O Attached are copies of the required E.P.A. notification forms.
1 hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or documen�County. I hereby
Aulhorize representatives of Butte Cou-nlly+lo enter Npon the a0go menllant+d proppny for Irl_4prrallgM pp as !
Print Name: sg; L -.E -/ y E &) Signature:
Date: - C/ S -
Q Owner ❑ Contractor X Agent for Owner 0 Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
APPLICANT SIGNATURE
X Shirley T ew Agent or Geor a Roong
For office use only:
OWNER
Name
Tomas Carrillo
Address
6045 Kanaka
City
Oroville
State CA
Zip 95966
Phone
589-7863
Fax
E-mail
Lic.#
APPLICANT SIGNATURE
X Shirley T ew Agent or Geor a Roong
For office use only:
CONTRACTOR
Name
GEORGE ROOFING
Address
6810 Lincoln Blvd
City
Oroville
State CA Zip
Phone
(530)533-6393
Fax (530)533-0287
E-mail
dan@abcgc.com
Lic.#
Class
dan@abcgc.com
452266 1
C39
APPLICANT SIGNATURE
X Shirley T ew Agent or Geor a Roong
For office use only:
ARCHITECT/ENGINEER
Name
N/A
Address
6810 Lincoln Blvd
City
Oroville
State CA Zip
Phone
(530) 533-6393
Fax
E-mail
dan@abcgc.com
State License Number
APPLICANT SIGNATURE
X Shirley T ew Agent or Geor a Roong
For office use only:
APPLICANT NAME
Name
GEORGE ROOFING
Address
6810 Lincoln Blvd
City
Oroville
State CA Zip 95966
Phone
(530) 533-6393
Fax (530)533-0287
E-mail
dan@abcgc.com
APPLICANT SIGNATURE
X Shirley T ew Agent or Geor a Roong
For office use only:
Zoning Flood Zone SRA Yes No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
PERMIT NO.
�• as3a
BP
BIN #
LOCATION
AP#
C) Lvq • a 1+0 01
Property Address 6045 Kanaka
Oroville, Ca. 95966
Cross Street
WORKER'S COMPENSATION
Policy Number 272-596-02
Carrier STATE FUND
If hiring anyone other than license contractors, a certificate of workers
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work
Reroof - House - Comp
Sq. Footage 37 Squares
❑ Structure Built Without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after
the date of application. In order to renew action on an application after
expiration, a new application, plans and fee will be required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who paid the
fee. The request must be made prior to the expiration of the permit and no
construction work has been done. Filing fees, plan check fees for work plan
checked and other department costs are not refundable.
Received by:
Receipt #:: , r
Amount: —� Bldg
SRA
Sheriff
SMIP
Other
Date I�)6 I /)'l7 Total
REV: George Roofing
J=OK
0 = Not OK
Not =
Not Ready MOBILE ` MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"'LPG
7. Utilitv Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card 3-1 Date Card B-1
S LLANEOUS
Date DEC S, COVER ARPORTS, GARAGES, Plans OK except #'s
o equirements-Setbacks-Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Deck riders and/or ),os
ecking-Bracing-Stairs-Rails
ood AV.; P - ms-Rftrs.-Coonectors
Shthg.- -Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date f Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5'7Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
'J OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (Single
=_
& Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning -Setbacks -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel -Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped
50. Garage Fire Protection Framing
6a. Hold Downs and Special Anchors
51. Property Line Firewall & Openings
7. Slab; Steel -Wrapped
52. Ext. Dpors-One T -Check Garage -3rd Story, 2 Exits
8. Piers -Fireplace Ftg.-Steel
53. Stairs; Width -Head room-Rise-Ru n -Landing -Fire Protection
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
10. Gas Pipe; Size -Anchors
55. Siding -Nailing Veneer
11. Water Pipe; Test -Anchor -Regulator -Service Test
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
12. Electric: Underground
57. Glazing Area -Glass Protection -Skylights -Plastic
13. Pienums & Ducts; Clearance -Material -Support -Ins.
58. Shear Walls; Nailing -Bolts
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
59. Insulation -Walls -Ceilings
15. Insulation
60. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Date
Card B-1 Date Card B-1
16. Water Htr.; Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchor -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
Date
Card B-1 Date Card B-1
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
Date
Card B-1 Date Card B-1
67. Stairs & Rails
Date
ELECTRICAL (Permit) OK except #'s
68. Fireplace or Stove; Clearances -Hearth
22. Fixture & Transformer Clearance -Ins. Protection
69. Elec. Outlets at Wood Panel; Int. & Ext.
23. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
24. Size Boxes & No. of Conductors -Stapled
71. Elec. Outlets & Receptacles at Kit. Counter
25. Romex Installed Close to Edge of Studs & C.J.
72. Garage Fire Door; Swing -Landing -Closer
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
73. A.C. Duct in Garage -Damper
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
75. Plb., Elec. & Mech. Equip. Listed for Location
29. Range Circ.. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
30. Service -Riser Conductors & Ground -Main Disconnect
78. Guard Rails & Deck Construction -Post Caps
31. Equip. Clearances Panels-Motors-Mech. Equip.
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
Date
Card B-1 Date Card B-1
81. Stucco; Brown -Finish
Date
Card B-1 Date Card B-1
82. A.C. Unit; Disconnect, Electrical, Plumbing
Date
MECHANICAL (Permit) OK except #'s
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
34. A.C. Ducts Insulation & Support
84. Water Well; Disconnect, Electrical, Plumbing
35. Vent Fan; Exhaust above insulation
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
36. Condensate Drain & Overflow; Size & Grade
86. Ventilation Throughout House
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
87. Glass Protection
38. Attic Access & Platform if Furnance in Attic
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
Date
Card B-1 Date Card B-1
91. Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #'s
Date
Card B-1 Date Card B-1
39. Sils, Proper Material & Anchors
Date
Card B-1 Date Card B-1
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Date
Card B-1 Date Card B-1
41. Bearing Walls over Girders & Floor Nailing
Comments at Final:
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
each time you visit job site)
(NOTE: An entry must be made
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - OrovIIIe, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
n\ /
ASSESSOR PARCEL NUMBER
-24-18
ZONING
_
BUILDING PERMIT
OWNER
Edwar 1589-2342
TELEPHONE
SO. FT. OCC. BUILDING
VALUATION
644 coy 6.-440
OWNER'S MAILIN .DDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
670 Mt- TrIn Rd-, Ornmillp
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ 62.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 31.25
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 103.75
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping -
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00 ea
TYPE OF WORK
New ❑ Addition Remo el Utilities Instal lati ❑ Other ❑
Describe work: A 0 a ,!L R ICRI Qj t/A-t^
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'.L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professio s Cod and my license is in full force and effect.
License No.�� �� •3 Classification. f7
❑ 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
OR ADDNST ( DWEACCLLIN GSCCUP.&)
yx¢sgft
NEW CONSTR.MULTI-OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS 6
(SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES
eA O30
FIXED APPLNS.
Ex. Occup. OUTLETS ((RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. �Yirin g
15.00
Permit Fee
$
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
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed,revoked.
MECHANICAL PERMIT
FiIirig Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any ay accrue
against said ounty in consequent f the granting of this per
X v✓ ate 3/f/
Signature of Applicant — Owner LfJ Contractor eAgentiz
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE -103.
HAL
PARK
�PR
scF�
P
pD
IS
This permit is hereby issued unser
sions of the Butte County. Code and/or
work indicated abov for which
D EC R 0 P
BY 14-6--ca
PERMIT EXPIRES ate
the applicable provi-
resolutions to do
fees have been paid.
IC WORKS
1_^
Receipt No. 88439
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
M
5 . -�F -r
�''9�i .:m. "��'i,°'l7.7- -,, ;/ -- Z. "}.,t ,b> mss` i.w •'!:! r. r ��> ::-v� '�'''�"s'++ a`
COUNTY OF BUTTE OF BUTTE - DEPARTMENT OF'PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE^CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
i Permit No.
OWNER T A. P. No. —.-74,j
Proposed Building Use �-- ` Building Inspector Date
At time of ermit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ...................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ....... .
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When y issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Applicant Ulillt ,.-f Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Po/ution Date
Copy of plans sent ___Health Dept. Fire Dept. Other Date
The following data must be submitted prior to permit issuance
1. Index permit for above items No.
2. Additional items required:
By
(Circle new item not checked above).
Contractor, designer, owner,
was advised of above required
data by_phone---jnail—counter
by—date-
y
..date_Contractor,
Contractor,designer, owner,
was advised of above required
data by—phone—mall—co
nter by
date -
Plans checked by
Date
Plans
approved by
Date J
-:2 Sets of plans on hold in
Copy—DPW
File cabinet ILI AP folder
4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR P R L NUZOO/
IIIIIL�ft����(/
BUILDING PERMIT
OWNER ZA,/^
EPHOy,NE
SO. FT. OCC. BUILDING VALUATION
N S NG AD SS
r
,74 TO'R'S M
TELE PHO
OR 5 DDR ESS
-'e -CO 1.' Q
Fireplace
CONSTRUCTION LENDER
KNOWN
Total Valuation $ �-
Filing Fee $
10.00
LENDER'S MAILING ADDRESS
Permit Fee $ lam/
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $ _ c -
BUILDING ADDRESS , r
Permit fee $ '
PLUMBING PERMIT Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
— USE OF STRUCTURE
SDaDuplex[-]Mobilehome❑ Other
f
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00 ea'
TYPE OF WORK
New ❑ Addition/f R model❑ Utilities ❑ Installatiion❑ Other ❑
/
Describe work: �I tt �- Cal .
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. 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
OCCUP.811
NEW CONST. DWELLING OR ADONS. ACC. BLDGS. I
'/a¢sgft
NNEW ON•RESID R BRANCH CIRCTITS
2.50 ea
POWER APPARATUS °
�� " ( SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES
2ALO 30
°Lo
FIXED APLNS
Ex. OCCUp. OUTLETS P(RESIO )REA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
HAZ.
CUA PARK scHL
FLD
coF
PA
Po
j HD.
ISSUE
This permit is hereby issued unoer the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No. e?1?13q
WHITE-D.P.W., YELLOW-A°eE7 R, PINK -INSPECTOR, GOLDENROD -APPLICANT
I
PERMIT NO. 996-83iB
IzeI, PERMIT EXPIRES U[
OWNER EDWARD TEGGE
CONTR. Joe Fillippelli
ASSESSOR PARCEL 69-24-18
LOCATION- 6045 Kanaka Avenue, Oroville
a
a
• i
8 '
Y
t.
'1
Temp. Power Pole
4.
� Called PG&E
a
t Temp. Elec. Service
Called PG&E
y
! Temp. Gas Service _.
Called PG&E
JOB FINALED (Date) �< -7���
Signature
i
i.
-J OK
0 = Not OK
— = Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except�#'s
Date. DECKS, OVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
onin Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketchotings;
Size—Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/0—Concrete
x
ec s; Girders and/or Joists—Decking—Bracing—Stairs—Rails T
4. Water; Location—Test—Easement Needed (Sketch)
4./Wood Awn.; Posts=Beams—Rftrs.—Connec.—Shthg.—Rfg.-Bracing
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5. tum. Awn.; Columns—Connections-Splice—Decal—Enclosures
6. Gas; Location—Test—Wrap:/ /."L';fI./ /"Nat. or/ /"L"ft./ . /"LPG
6. C rports; Windows—Doors Y
7. Utility Clearance
7• lec.
Card -BI
Date Card -BI Date
a Card -BI Date
Card -BI
Date Card-BI—)2Date
C d -BI
ateCard-BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except H's
1. Zoning Requirements—Setbacks—Easements
Date
_
POOLS (Plans) OK a ept 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/O to Grade—HD Approval
7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
8.'Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures-Panel boards—Ins. to Main in Conduit,
9. Exits; Insp.—Sketch 4.
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I
Date Card -BI Date
Card _131
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
+
J
I -
,
J = OK
0 = Not OK
- = Not Applicable
* Not Ready RESIDENTIAtt (Sin-gle and Duplex) `
Date
UNDERFLOOR Plans OK except #'s
bate
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
51.
52.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel -B lockouts -Wrapped -S lab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
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
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -TI Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except #'s
57.
Smoke Detector
_
14.
15.
Water Ht.: Vent -Access -Combustion Air
Water Pipe; Test & Anchors -Nail Protection
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
16.
17.
D.W.V.: Test-Fttngs & Anchors -Nail Protection
Shower Pan; Test, First Floor -Tub Access
59.
Bedroom Exiting
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
_
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -81
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
67.
Elec. Outlets & Receptacles at Kit. Counter
Garage Fire Door; Swing -Landing -Closer
Date
ELECTRICAL Perrrit OK except #'s
68.
_
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. Protection
--
_
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
-
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. 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.
Insulation -Foam -Looked in Attic ❑Yes
-
25.
2 Appliance Circuits in Kitchen & Conductor Size
73.
Guard Rails & Deck Construction -Post Caps
-74.
-
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
Fdn. Vents &Crawl Hole Door -Drainage &Wood -Earth Clearance
Looked under Floor ❑ Yes
27,
_Insulated
Range Circ. / / ga Cu or AI -Oven Circ. / / ga. Cu or At,
Neutral ;]Yes [__1 No
75,
Following instld.: Drive ❑ Yes No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
-
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
_
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
- --
30.
Clothes Closet Light -Shower Light _
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
----------
79.
Water Well; Disconnect, Electrical, Plumbing
Card B -I
__-_-
_Date_ _- _ Card -BI _ Date -
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except #'s
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
_-
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86,
Energy Compliance Certificate -Other Certificates
-33.
Condensate Drain _& Overilow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
--- - - - - -- ---
-- Date__-- Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -TI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMING(Plans) OK except #'s
36.
Sills; Proper Material & Anchors
_
_
37.
_i8:
39.
_
Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing___
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
45
46.
47.
Header & Beam -Size & Bearing_
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rfir. Ties- Purlin-Roof Trac. -Truss-Shthnq.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size & Romex_ Protection -Draft Stop -Ins. Baffles
Bdrm._Win_do_ws or Exiting Doors -Sill H_gt. & Dimensions _
Garage Fire Protection Framing^
(NOTE: Anentrymust be made each time youvisit jobsite)
01
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - OroviTe;'Cafiffornia 95965 - Telephone 916/534-4541
APPLICATION ANDYERMIT
ASSE � SEL QI UMB� -
'tel
ZONING
BUILDING PERMIT
OWN
TELEPHONE
S0. FT. OCC. BUILDING VALUATI N
O NER'S MA LING A DRE `' -
• / M/ v—
CONTRACTOR'S NAM yS�E,+HONE /^
C A T O '
A I L N A`_ E 5 r�
�5d
Fireplace _
CONSTRUCTION LENDER
UNKNOWN _
Total Valuation $
Filing'Fee
$ .10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 100
ARCHITECT OR ENGINEER -
Q
LICENSE NO.
Plan Checking Fee
$ 12, fu
Penalty
$_
ARCHITECT OR ENGINEER'S MAILING ADDRESS �
Permit fee
$ ,
BUILDING ADDRESS
'
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.SUBDIVISION
NAME
i
PARCEL MAP
Each qas water'heater or vent
5.00
Gas piping `system 1 - 5 outlets
5.00
—� USE OF STRUCTURE
SF lam" Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00e
TYPE OF WORK
New ❑ Addition emode Utilities ❑ Installation❑ ' Other
Describe work: f
-
Permit Fee
$
Contractor
ELECTRICAL PERMIT'
Filing Fee 10.00'
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST.. // DWELLING OCCUP.&
OR ADDNS, ( ACC. BLDGS.
1
2/20sq ft
ONTRACTORS LICENSE LAW
I declare r pens of perjury (check one): -
Ln I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and m license is in full for and effect.
T� y
License No. ..l.7 i 9/–f— Classification
❑ I, as the owner, or my employees with wages as theirsole 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 MULTI -OUT LET 2.50 ea
NON-RESID BRANCH CIRCUITS)
NEW CONSTR POWER APPARATUS .&*).
NON-RESID. (SINGLE OUTLET CIR. )'
520@50Q
Ex. Occup(o OR FIXTURES BAL�30Q
A
FIXED APP LNS, OR \
FIXED
EX. Occup. OUTLETS (RESID.) EA,/ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
ORKMEN'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
onsent to Self -Insure.
Rr I shall not employ any person in any manner so as to become subject
to the W. C. laws of California. 1
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
'
Cooling
Hood
3.00
Ventilation
Permit Fee'
$
Contractor
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, againstoc
all liabilities, judgments, costs, and 'expenses which may in any way accrue.
against s 6County i onsequence'of the granting of this permit.
y��, ��
re of Appl'cant – caner ❑ Contractor Cj Agent ❑
SiO–S
AHA permit .is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height. _
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
U GROUP
T P F CONT.J,PARJC"J
�
P
HD
ss
This permit is hereby issued under
sions of the Butte County Code ane/or
work indicated above for -Which
DIRECTOR OFPUB
Jo
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been aid.
p
C WORKS
Date
4,� l ?
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
t
PERMIT NO. 862-81B,P.-ESM
-' PERMIT EXPIRES����/
OWNER Oro Ridge Properties
CONTR. f Kelley & Miley, Oroville
'n") ASSESSOR PARCEL34-83-18
LOCATION 6045 Kanaka Ave : , lot 248, KRAB,
Oroville
r
Temp., Power Pole
Called PG&E
Temp., Elec. Service
Called PG&E
&Z
Temp. Gas Service
1-11
,i
c
Called PG&E
t
JOB FINALED (Date)
Signature
1
i
J = OK
0 = Not OK F
= Not Applicable
Read
= Not Ready MOBILEHOMES MISCELLANEOUS
�
Date
MOBILEHOME UTILITIES (Plans) OK'except N's
1. Zoning Requirements—Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
2. Footings; Size-Depth—Spacing—Connectors `
3. Sewer; Location—Test—Fall-C/0—Concrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4. Water; Location—Test—Easement Needed (Sketch)
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
5. Electricity; Location—Clearances—Grnd.—/ / Amp=Concrete
5. Alum. Awn.; Columns—Connections—Splice-Decal-Enclosures
6. Gas; Locatior>—Test—Wrap:/ /"L"fL/ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows—Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except it's
1. Zoning Requirements—Setbacks—Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1, Setbacks—Easements t
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— Enc losures— Pane Iboards— Ins. to Main in Conduit
9. Exits; Insp.—Sketch
10. Cert. of Occupancy
9. Health Department Approval
10, Plumb; Cir. Test—Water Supply Test -
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -B1 Date
J OK
O - Not OK
= Not Applicable Not Ready RESIDENTIAL (Single'and Duplex)
Date
UNDERFLOOR Plans OK exce tk's
Date FRAMI n i ued
A,.-'foqjag requirements -Setbacks -Easements
481"ProqgLty Line Firewall & Openings
tg., ;Soils -Steel -Flet. Grnd.- // /" Ftg. Depth
yrs -One 3' -Check Garage -3rd story, 2 exits
g., Garage; Soils -Steel-/ ' Ftg. Depth
�1ce-Tt=Headroom-Rise-Run-Landing-Fire Protection
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
PI n Roof Overhang -Attic Vents -Rafter Outriggers
temwalls, Main; Steel-Blockouts-Wrapped-Slab
Si - ailing -Veneer
Zr-sTe-g_yalls, Garage; Steel-Blockouts-Wrapped-SlabSar.
StUpoo'IOtt?sh-Drip Screed-Fdn. Vents-Underflr. Access
iers-
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
a s; Nailing -Bolts
Gas Pipe; Size -Anchors
'10. Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground
4-12. Plenums & Ducts; Clearance -Material -Support -Ins.
3. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI Dat Card -BI Date
`
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Date FINAL tans) OK except k's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except N's
Ext. teps-Door & Sidelight Protection -Landings
mo�etector
14. - ccess=Combustion Air
urnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
t e; Test & Anchors -Nail Protection
1 .W.V.; Test-Fttngs & Anchors -Nail Protection
°J2,,EWTr_oom Exiting
1 ess_
1B!Test Tub & Shower, 2nd Floor -Tub Access
I. & Bath Fixtures & Tub Access
lec. Trim & Subpanel; Breaker Sizes -Labels
to Gas Pipas SiaB &_A el eis
us & Rails
63. earances-Hearth
Card -BI
Date Card -BI Date
lec. Outlets at Wood Panel; Int. & Ext.
it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
e�tlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except p's
87-�arage Fire Door; Swing -Landing -Closer
68.
I & Transformer Clearance -Ins. Protection
apeTIn
69e-WIr. Htr.;-Louts-Clearance-Comb. Air-Connector-P.R.V.-
Garage; Above Floor-Mech. Protection
eceptacles Spacing -Lights & Switches at Doors
Size xes & No. of Conductors -Stapled
b., Elec. &Mech. Equip. Listed for Location
7 eptacles in Garage; (G.F.I.)-Romex Protec.
ome stalled Close to Edge of Studs & C.J.
round made up w/Mech. Fasteners -Bond as. -&-Water---•
nsulation-Foam-Looked in Attic es
7 rd Rails & Deck Construction -Post Caps
2 Appliance Circuits in. Kitchen & Conductor'$ize
7 ents & Crawl Hoole Doolgrainage & Wood -Earth Clearance
Looked under Floor lad-'trs
ire
27. Range Circ. / / ga. Cu ori
'
Insulated Neutral Yes
75. Following instld.: Drive EJ Yes E] No; Walks El Yes E) No;
Pla s ❑Yes ❑N
28. Serv' - ain Disconnect
7 uc rown-F' '
quip. Clearances; Panels-Motors-Mech. Equip.
7 C nit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30. Clothes Closet Light -Shower Light
ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79. lu
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card
Card -BI Date
entilation throughout House
Card B -I
Date Card -BI Date
82 _
orrections from Previous Inspections
Date
MECHA L (Permit) OK except N's
. �i2r5'1'esh-Meters Tagged; Gas -Electric
C. Ducts; Insulation &Support
a ewer Connected -C/O to Grade -HD Approval
x aus sul
Energy Compliance Certificate -Other Certificates
_
in Overflow; Size & Grade
34. b. -Air -Return Air Vent -115V outlet
3 tic Access & Platform if Furnace in Attic
Card -BI Date Card -BI Date
Card -B _V t� Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date
FRAMIN tans OK except p's
Comments at Final:
Proper Material & Anchors
_ills;
alls; Studs -Nailing, Spacing & Bracing -Plates -Sound
_
3eariag Walls over Girders & Floor Nailing
raf op in Walls (rat proof)
it ps; Furred Ceilings -Stairs -Chases -Tub
Head &Beam -Size &Bearing
angers -Post Caps -Anchors -Connectors
s-Ritr. Ties- Brac-T-Shq-Ro.
i4. Eiieplaro i-ig- - -
ttic Size & Romex Protection -Draft Stop -Ins. Baffles
_cess;
drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
42,89fa-g-e-Fire Protection Framing
(NOTE: An entry must be made each time you visit job site)
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED.ABOVE HAVE .BEEN INSTALLED .
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO,
THE COMPLETENESS•OF THIS CERTIFICATE AS SUBMITTED.'
Insulation Applicator Name r
Signature of (Please rint) -
Insulation Applicator
State Contractors.
:License No.
General Contractor/Owner Name* j<�_/��
-(Pleap int)
Signature of i.
:. se /
General Contractor/Owner Date � ' � ` • .. -
Sate Contractors
icense No. 244 Ci 7 6 -
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING .DEPARTMENT PRIOR ,TO ` s
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN'A'CONSPICUOUS LOCATION M
.WITHIN THE E DWELLING.
.P.
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED.ABOVE HAVE .BEEN INSTALLED .
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO,
THE COMPLETENESS•OF THIS CERTIFICATE AS SUBMITTED.'
Insulation Applicator Name r
Signature of (Please rint) -
Insulation Applicator
State Contractors.
:License No.
General Contractor/Owner Name* j<�_/��
-(Pleap int)
Signature of i.
:. se /
General Contractor/Owner Date � ' � ` • .. -
Sate Contractors
icense No. 244 Ci 7 6 -
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING .DEPARTMENT PRIOR ,TO ` s
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN'A'CONSPICUOUS LOCATION M
.WITHIN THE E DWELLING.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
' APPLICATION AND PERMIT
ASESOPCv,3UM1�
ZON/
BUILDING PERMIT
OWNER
OHO ' OIDGE ��P��nGs
TELEPHONE
FT. OCC. BUILDING VA UATION
94
V
O
OWNER'S MAILING ADDRESS
3 M
30.00
C TRACTOR'S NA
CLL Y E(_ Y
TELEPH NE
5S;r / l
/� fI /i.
!J ('oQ
�� 8, 0o
957
7 `7 , o ov
coy,TRn oR s yInILING ADDRESS
KfXl� � 9SV6 S
Fireplace
CONSTRUCTION LEE^NII; ��
_
UNKNOWN
Total Valuation $ -
77, 00
Filing Fee
$ 10.00
LENDER'S MAILING ADDRES��'r✓
Permit Fee
$ "Z/9,00
ARCHITECT OR ENGI E
LICENSE No.
Plan Checking Fee
$ /O f,,Sp
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$339.50
BUILDING ADDRESS
S /etqA)Ak_A AVE
PLUMBING PERMIT
FilingFee 10.00
Each Trap
/D 2.00 20.00
Repair drainage or vent piping
5.00
V lL(
Water piping
5,00
LOT NO.
SUBDIVIIS-ICON/ (NAME
leer-F�7 �l�yC� 7 0
PARCEL MAP
g=9�
Each qas water heater or vent
5.00 j
Gas piping system 1 -5 outlets
USE OF STRUCTURE
SF [j3�Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
�p(�
Lawn sprinkler system
5.00
TYPE OF WORK
New [j� Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$ 0
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 8001 OR LESS
100 AMP OR LESS
5.00 On
0
Main service EA. ADD•L 100 AMP
2:50 2„!;b
NEW CONST. /DWELLING O U
OR ADDNS. \ ACCBLDG
.
) 20 sq it S(�
r
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business80
and Professions Code and my license is•in full force and effect.
License No. 344 q 3(i Classification B d /6 - G-3 e-
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
NEW CONSTR I.OU LET 2.50 ea
NON•RESID BRANCH CIRCUITS
NEW CONSTR. (POWER APPARATUS .&)
NON-RESID. -SINGLE OUTLET CIR.
@ 8¢
EX: Occup(OUTLETS OR FIXTURES BAL@1
IXED APPLNS, OR
Ex. OCCup.�OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
a1567 QUAL ��,
Permit Fe $_ �!7
Contractor
MECHANI AL PERMIT
FilingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
C4 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heatin 41 L11-F200b0
ff L -4i-7— V" n
Cooling 3 %
57,00
Hood
3.00 ,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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
XDate �— /%—�
Sign tura f Applicant - Ow er ElContractorX Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL- PERMIT FEE
OCCUP. GROUP
TYPE OF CONST.PAR
L
11,71
HD
ISS
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR TOR OF PUBLIC
By
P MIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 3-2-3- k.1
7—Z___r-8'y---
Receipt NO. b
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
r Y ter,
y y ,
Telephone
533-2000
North "Burbank Public. Utility District t�
1960 ElginStreet
OROVI^LLE, CALIFORNIA 9596516
'. DISTRICT APPROVAL AND '
VERIFICATION OF INSPECTION 25-811 '
BUILDING SEWERS,
This verification form must be submitted to:the Butte County Department of
Public Works = Building Department prior to issuance of a building'or occupancy
permit, whichever.is,applicable.
Prior to final approval by Butte County of a Building or an Occupancy Permit, a
copy of this verification form, signed off by North Burbank Public Utility°District,
�. must be submitted to Butte County. _.
�+
. Applicant: ORO. -RIDGE PROPERTIES ~
'
5263 Royal Oaks Drive, Oroviile
Applicant'Address:
'Ap'p hcant Phone No.. --'589-
0152
Property Location (s)-- 6045 Kanaka Avenue`, Or6ville .
Kelly; -`Ridge Estates ' Lot' 248, Unit 4B
A P.,Noo(s):
034-83-07018-0
r
Fees Paid: '`'SCOR 'FACILITY C'HARGR TATE 4 Rr. PAYABLE OF $900-00
`NBPUD'CONNEC FEE PAID
ApplicationJor service approved:
a • ` z ' ` North Burbank `
WarchL '17, 1981 Public Utility District '
Inspection (s) made and'successful tests) observed:
Location: Date:
By: Y.
North• Burbank Public Utilitybistrict release to close permit:
' Date: By: ,
i COUNTY OF BUTTE - DEPARTMENT OF'AUBLIC WORKS - BUILDING DIVISION /r
7 COUNTY CENTER DRIVE - OROVIL.LE;'i5AuFORNIA 95965 - T,ELEPHONE: 916/534-4541 f
�•.8 PERMIT APPLICATION DATA SHEET
t- Permit No. ..
OWNER ®4th /2 Fr9OPCi—V 15 S A. P. No. 3c1- Y3 —/P
Proposed -Building Use S�r
�- Permit Fee BasedUpon. Complete Contract Price DPW Valuation
Other (Explain)
Building Inspector Date
i
At time of
permit application, I was advised the following data must be submitted prior to permit processing
and/or I suance: DATE RECEIVED APPROVED
61 1.
All items have been submitted. .. . . . . . . . .
" 2.
Plot plans in duplicate/triplicate. . . . . . . . . . .
3.
Complete plans in duplicate./triplicate. . . . . . . . .
4.
Complete engineered plans and calcs. . . . . . . . . .
5.
Plans with Energy Design'Compliance Statement. . . . . .
6.
State Energy Forms No.
7
Statement of Intent for Non -Heated and AC Buildings.
8.
Fees of $ . . . . . .
9.
Letter of signature authorization. . . . . . . . . . .
10.
Sanitation approval from Health Dept. . .
11.
Planning approval for (A) Use: (B) Parking: .
1.2.
Certificate of Workmen's Compensation Insurance. . . . . .
13.
Contractor's License Information (no., name style, classif.)
14.
Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
15.
Improvements may be required. . . . . . . . . . . .
16.
Mobilehome Installation Data. . . . . . . . .
•Pre.Inspec.
17.
request to
Pre -Inspection for Required. Building Inspector (Date)
18.
Other
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone -589–A69# and old or pickup at ci?,Lb office. Deliver w/inspector.
Other
Applicant Date
Copyof plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By Date
Plans checked by Date
Plans approved by Date
Other:
Copy—DPW
._ ..•--- ..p.. �e .Sr.... «...,_-•..,w�. .. .,...,,a.,,�-_-.'�-"-'�'°'%i-^- a�Lv✓i�f"'ti,7P�:��V"cifiq/�..s'�r.4�i'•.q°y$;?N_st"°� rr.. F .. ,�:.�nr;r. ;, +�•, �. . �; •�--sv�.r-�
. - Permit#438-83B
_Edward Tegge
• ;� c S
•i.
d
i •
r
j
• - p
J COUNTY40F BUTTE*- DEPARTMENT OF -PUBLIC WORKS' PERMIT N
7 County Center DrIve - Oroville, CalU.prpla 9;5965 : Telephone 916%534-4541 IllsY-O.
APPLICATION AND PERMIT t t
,ASSESSOR PA EL NUMBER
DAti 6r
ZONING
-" - -
BUILDING* PERMIT .
O WNE .r -'-s - .. ,
> f' �'
TELEPHONE
6 3
SQ..FT. OCC. BUILDING VALUATION `
-
OWNER'S MAILING RESS ,
• ..
..
-i
CO RACTOR'S NAM9
T�LEPHONE
I
CONTRACTOR'S MAI I G ADDRESS -
�^
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation '' $
Fliing"Fee
$ 10.00
LENDER'S AILING ADDRESS - •- •,
;Permit.Fee
$ '
ARCHITECT OR ENGINEER -
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING 'ADDRESS ,! -
t,
Permit fee
$
BUILDING ADDRESS -
.PLUMBING- PERMITg
Filin Fee 10.00
kOOf
Each Trap
2.00
Solar Water Heater
20.00*
Water piping
5.00
LOT NO.
SUBDIVISION NAME
Zf f c�r-
PARCEL MAP
Each qas water heater or vent
5.00 _
Gas piping system 1 -5 outlets
5.00.
USE OF STRUCTURE
SFIV Duplex ❑ Mobi lehome ❑ Other r
SPECIFY
Building sewer
5.00 ,
Mobile Home S G W
10.00 e
TYPE OF WORK
-New ❑ Addition ❑ Remodel ❑ Uti lities ❑ " Installation❑ Other
D'escri work: -
r.
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS.
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.&)
OR ADDNS. AGC. BLDGS.
21/20sgft_
".
CONTRACTORS LICENSE LAW
• .
I declare under penalty of perjury (check one):NEW
`
❑ I am licensed under provisions of - Chapt. 9, Div. 3 .of, the.Business
and, Professions Code and m license is in' full force and effect.
pp ] y %r _'
i 'Llcense.No.i.39z / CIaSSIflCatlOn
❑ 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)
0 • I, -as the owner, am exclusively contracting with licensed contract-•:
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEw CONSTR ULT' -OUTLET 2,50 ea
NON.RESI D. BRANCH CIRC ITS
CONSTR (POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
z0c�s0C
Ex. Occup(o OR FIXTURES eALP 300
FIXED APP LNS. OR
FIXED A
Ex. Occup. OUTLETS (RESID,) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc..Wiring 15.00
-
Permit Fee
$
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
1 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 ora Certificate
of Consent to Self -Insure. '
I shall not employ any person in any manner so -as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall'be deemed revoked.
Heating' `
Cooling
Hood
3.00
Ventilation,
permit Fee
$ `
Contractor
-
1 certify that I'�have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes. '
1
1 also agree to save, indemnify and keep harmless the County of Butte against,
all liabilities, judgments, costs, and expenses which may in any way accrue.
agairist,&pid County in.c eque ice of the granting of this permit: c�
X Date Z. "'I y,;. �j �'
Signature of A plicant — '' Owner ❑ • Contractor Q AgentEl'.
An OSHA permit is required for excavations over 5'0" deep and demoli.tion or construct-
ion of,structures over 3 stories in height. `
Mobile Home Installation Fee
$
—
. TOTAL PERMIT FEE 12,s--
occuP. GROUP
f'
I TYPE of CONST.
IPARCELP6
'
HD
ssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
117CTOR OF PUBLIC
By "�
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
ate 0 s�
, -L��.��/ '•
Receipt No.
WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
= OK
0 = Not OK
' = Not Readiyable MOBILE ,HOMES
c '
MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECYS;COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
&W'Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -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.-
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
S .-Rfg.-Bracing
6. Gas; Location -Test -Wrap: / /"L"ft.
VAlum. Awn.; Columns -Connections -Splice -Decal -Enclosures
/ /"Nat. or/ /"L"ft./ /"LPG-
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -131
Date Card -131 Date
10. Roof; Shthg-Roofing
Card -B1
Date Card -81 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -B
ate Card -131 Date
2. footings; Size -Spacing -Marriage Line
Card -BT
Date Card -B1 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date "
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -.CYO to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Card -B1 Date Card -B1 Date
Card -131 Date Card -131 Date
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
j Card -81 Date Card -81 Date
l Card -131 Date Card -131 Date
= VK
= NotOK
RESIDENTIAL (Single and Duplex)
= Not Applicable
= Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning -Setbacks; -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
46. Cing. Joist-Rftr. Ties- Purl in -Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel- Blockouts-Wrapped
50..Garage Fire Protection Framing
7. Slab; Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance- Material -Supprt-Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -B1
Date Card -131 Date
Card -B1
Date Card -81 Date
Card -B1
Date Card -131 Date
Card -B1
Date Card -B1 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
66. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -131
Date Card -131 Date
67. Stairs &Rails
Card -131
Date Card -81 Date
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
23. Elec. Receptacles Spacing -Lights & Switches at Doors
71. Elec. Outlets & Receptacles at Kit. Counter
24. Size Boxes & No. of Conductors -Stapled
72. Garage Fire Door; Swing -Landing -Closer
25. Romex Installed Close to Edge of Studs & C.J.
73. A.C. Duct in Garage -Damper
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
75. Plb., Elec. & Mech. Equip. Listed for Location
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
76, Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
33. Smoke Detector
Si. Stucco; Brown -Finish
Card -B1
Date Card -B1 Date
82. A.C. Unit; Disconnect, Electrical, Plumbing
Card -131
Date Card -B1 Date
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
84. Water Well; Disconnect, Electrical, Plumbing
34. A.C. Ducts Insulation & Support
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
35. Vent Fan; Exhaust above insulation
86. Ventilation throughout House
36. Condensate Drain & Overflow; Size & Grade
87. Glass Protection
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
88. Corrections from Previous Inpections
38. Attic Access & Platform if Furnace in Attic
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Card -61
Date Card -B1 Date
92. Roofing Certificate
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Date
FRAMING (Plans) OK except #'s
Card -81
Date Card -B1 Date
39. Sills, Proper Material & Anchors
Card -131
Date Card -B1 Date
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments
at Final:
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/5.38-7541
APPLICATION AND PERMIT
PERMIT NO. s
ASSESSOR PARCEL NUMBER
ZONING/J�
BUILDING PERMIT
OWN.. ,_1 �.\r
TELEP''�r,,f�H((``ONE 2
SO. FT. OCC.1 BUILDING VALU' TION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
L. Al
TELEPHONE
/flit
CONTRACTOR'S MMILING ADDRESS '
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee,
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
Energy Plan Checking Fee
$
n
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty _
$
BUILDING ADDRESS
CA VK,
"Permit }@@
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISIO AM
PARC CEL
_5 `/�
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPE FY -
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home . S G W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
"''�—"` flQSs'�-- (� �L(,(t/%c
Describe work: 'r-�w-�-�` �
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
" 1Main
service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one): �.
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license IS In full fo ce and effect.
License No._SZ2 - f T 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)
E:1 I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. I DWELLING OCCUP.eI
OR ACDNS. • ACC. BLDGS. it
NEW CONSTULT'-OUTLET
NON•RESID .BRANCH CIRCUITS) 2.50 ea
-. (POWER APPARATUS e\
SINGLE OUTLET CIR. /
i0050t
Ex. OCCUp(O OR FIXTURES eAL®30
PTS
FIXED
Ex. Occup. OUTLETS (RESID ) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
rI 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 shal I be deemed revoked.
Contractor
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 Countyot$
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all lia ilities, judgments, costs, and expenses which may in any way accrue
again said County in sequence of the granting of this permit.
Z—
Date 6 �3 �_
Si ure of Applicant — Ownor ❑ Contractor Agent ❑
An OSHA permit is required for excavations over 5'?deep and demolition or construct-
-ion of•structures over 3 stories in height.
' Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE `—
OCCUP.
CONST.TYPIEJ
SCHOOL
FLOOD
_
PARCEL
✓
PD ND SU
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
BY -
PE T 9XPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
.
Receipt No_7
WHITE-D.P.W.. YELLOW-ASSE330A. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT'OF`'PbBLIC WORKS - BUILDING DIVISION /
7 COUNTY CENTER DRIVE - OROVILLL'CACIFCIRNIA 95965 - TELEPHONE: 916/538-7541 /
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER A. P No. A q - 9- i
Proposed Building Use A!—/r;//-� Building Inspector G1 Date 21, A.07
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
Park fees paid................................p....................
12. School District fees aid .................
13. Sanitation approval from �p�AiZi Health Department .0 r
14. City of Chico plumbing permit ......................................
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking: .........
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
Pre-Inspec. request to
19. Pre -Inspection for required ...... Building Inspector (Date)
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verification (Given to owner 0, Mail to owner ❑) ........
23. Recorded copy of Agricultural Acknowledgment Statement ............
24. Letter of signature authorization .....................................
25.
26.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone S—?2 - a_S-_and hold for pickup at office. Deliver w/inspector.
X Other e"'OA) 74A I Z4
Applicant C/' R.. (ol Date
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required: °
Contractor, designer, owner, was advised of above required data by_phone_-oaiI—counter by date
Contractor, designer, owner, was advised of above required data by—phone —Mai I—counter by date
Plans checked by Date Plans approved by a' Date �� ✓�
Sets of plans on hold in File cabinet AP folder
Copy—DPW -
u
I�
�dw�Yd T�95e
SOUS J AAI NIB
APS 069 - 2 -i -/o _ 012
Pho�� : Sgt -z3vz
r5MUST
"JG
S* picws cmd spot �nl ,�ful +o
]' r. S is
iept on the a'��� Gt ci? Y'P '11thou
rral�� an��` chrr,Cc`s or puriro�nt.. l'ublIc
�rittsn permis_i3n +� cm •sae �e .
�r� ��� � �#•to.
S I C �J,� 1J NOTE:—All Matericsls & Workmanship Shall Be 1n
Accordance w h Recognize:` P:cod Pradic' es and
of a quaS =y prescri ��.1 for i:j Spc,fie� use in the
Uniform Building, Numbing U Mechcnical Codes and
the t4gtioncl Electrical Code.
(W`11r
r'(
1
j
r
L..en9tt i2Z9 �f: dotedL Occ k I
L Prey/h c /.65P rain (Enclosed) On 2f3�
Lenylh=/.00Fmin(op_n)�j
i I' " Pilch - y4 Per foo/ /.Sp"
C I it II --Deck
�YPpj- I • , I .,.03 � i
1( Typ.) ti
//1!Vn•. L I Fascia ( Co/vmn ne;
PLAN � 3�.� col. /l-O�:no x. �2 SQL/n�'E �OLUMN
3004 -H36 A/u n.
Frlvide :or ^Ij Seems dr�i/s
/cs; i : Crcina a 'e /6--w/4-
I Thickness +o
IA/um. - 0.0/9
;Steel-29Go(0.014) ilio
I Il,la
SHs
�I Fascia
N
,
jver co/.
s u�
I
'8 �
j 8 C 6„e- De.k 2 /,3
B per co/, wp, 0
washer T. B.
Co/. Shoe I (24'1any)
II
IIl2-/Col. N
may Lt
i !' /' !• J spores Only. ,
�06'&V.S,4-IV5,4F.5.
6,� ^Fa SC/A' SPL/cE L9 --r
SCHEDCIL E '
Aw/V1/vG -No OVER HANG.
MODEL
No.
PRO✓.
to
2-4,00 3l co/ .
SPAN L SHaN L
G'
EL FV
' 'BSvSC9cvde/op-OccEI��•=;iax/�5;oi!cchn;c5.
�'B �HSti
d -O•
/1 4 -//.4^
!.L68
A9 -/O
/2'c. e' r,dc /op -Deck 2!3
See Tob Delo;': �, I Enc /ox edon /
Deck
SYab,
stone,
Ownhv
anchor
71
• M/ai -F sua
I Dny Ce4��i
2• BSNfc td. /op - k I
/-BSMS C r,de/p-onk zfs
(s C•,
I, 85MS9c-Dctk/
-2• e�2�.
PL-7Ga.0801
SHs
�I Fascia
N
,
jver co/.
s u�
I
'8 �
j 8 C 6„e- De.k 2 /,3
B per co/, wp, 0
washer T. B.
Co/. Shoe I (24'1any)
II
IIl2-/Col. N
may Lt
i !' /' !• J spores Only. ,
�06'&V.S,4-IV5,4F.5.
6,� ^Fa SC/A' SPL/cE L9 --r
SCHEDCIL E '
Aw/V1/vG -No OVER HANG.
MODEL
No.
PRO✓.
to
2-4,00 3l co/ .
SPAN L SHaN L
G'
A8-10
d -O•
/1 4 -//.4^
A9 -/O
9-O'
/0 /^
SYab,
stone,
Ownhv
anchor
All -/O
/l'-O'[8"
-2• e�2�.
BSMSc-6c ac PLAN
'8 SMS d' 36
SECT C1
..• Ex rldcd /enyer
, � N• , 0--•..75
O
END TRIM
L : 1
6063-TSA/um.
I!
' DECK TO END %R1L! CO/!/l
• � i t Heir - 9 Go.C•/SO'J
' .. 4"O/omefcr
-4—
EL Ev.
A W,y/NG Alv-rHoA4
Plote { N:!y,.r:ASTM. A5;9 %S=2Sks�T•S=95 ks�.
A0 :1040 Stee l, y.ST'S=84!-r:
-] - F'nis : Anchor.sholl be tooted -with
`- c/ass / zinc c/cctt-o P/otin91
from m O•S to /O m,% rh/ckrless
e0 CTF�oi. �; C1�li
i {1 •'. 9
*/vote: Use
Broke o• O -,n j
?-ltt ;�CAd s 1
i
I' yAwnin) Anchor
I t�t '' •
I l�
II .
• CoNI✓. -cot.. ro
I N
•r• I'i I;:: 3S
p-0
_ v t_50 _ 4.50 .t. _ f So. v_ .7•.p� l'
IA. 1B /%A: -1004-H36 Alum.
(/B:Steel,Grode E, ASTM A446)-
ExTRUOEO HANGER
'6063 rs Al._
134 /OGooe. 2.00 ;
.I
PLAN mI 125
?: 0 2.30 ,
F� I
•\; `° Lenyrh = 2.30'
COLUMN INSERT C
EL EV 6061 - T6, A/vm.
COL. INSERT. / _^ -,_ .07S
G/accA Sleet AS TM A 4 4 6 H
Nlm
9• :n
t• to
/. 687 7 I
O O .COLUMN 5Hor l
6063 -T6
1 PL AN ,
le -)p 2,h =So ^
p ♦�
EL E V. (5"G F$CL4/CE
Cou.,A~ SHOE 2 MEMBER
ASTM A36 Steel
6063 T6 41,m.
---'S= 14c.. .Sr ---fit 13"8SMS
12 -,Veer size
side
t -} 1+---- �. ;�/ LIFasc,a Slice
Imem6eG may he,
+ + + + { u5ea'6 2,y,Lbrrt
4 n FASO/A SPL/CC L1--L-77
GE//FRAC NorES
I. DeS,;gr+ :'O odr: L/velood=/Opsf�
Wind /ood• /Opsfi uplift =/Ops'f.
2. Awning may be screened with
Open mesh Ansecr screening or with. .
reodiy:eemovable tronsl;,cenT or
IronSporenr flexible plostic screeniny'
of not more tion eo -,Ys. lh/ckness. .
i� 3. Each owr;iny structure sho//
3 hove orroched tdereto in o visible
/Ocor/ons on approved 1d2ntitricor/on
'ins,9r,ia.
¢. Aluminum des gn andSlresSes
are accord/ng to A vm. Assoc. 1976
Specs. w/lh p factor of Sofery {or
prod✓cts.
- CONSTRL/C T,O/v NOTES
Corry o//.foari 9s down -a /!incl
in d's tur6ed Soil Mox des,gn so%l
pressure = SO 0,0s f.
2. Concrere sho// hove a streny/h
200op si. ® 28 days.
3. All om,ny Shall be o%m%nun :
r unless olhe—:se shown. Sreel ports
sholl be y^o/vo,7ized or pa%nred ,.+•i th
,Steel primer and enamel finish.
4. Steel fosreners sho/i he st.; less,
o/uminum or Cadmium plored.
S. SMS- Sheer mero/ screws. SMS
for roof pone/ S,60//hove %"d/a.
comp OSite mero1/ ne[pr3ne wosher s.
6. Enc/ostires sho//not be o/tech->e
M co/umns• .
AWNING Al✓CHoR NOTES
/. Awlv,/..bonch0.- Shollie os
monufocrured by Aoesco D;strib.Jne
2. Awr,1-6 .nc'nar may be used in the
fo/iowin�r soil types:
o. Sauey grace/ ar grcvel. '
t. .Sand, silty. send clayey S-1"si/ry
', n✓e/, or -:i .cicyey grove/.
C. Clod, : ondy. c/ay/ silty c/cv, and
Sill'
� ernoveo
n'��I
Vt�x �. JAH 19 989
A 110-S-6,1 '
w A --.-I lAd19
If. _
H TTA' [ nED M08i _ c HOW- AWN/niG - IO [.L.
DURAL 4 INC.
4301 ,Qb-,,R INY..>�. .. . _ .
E
T �
011111
L
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