HomeMy WebLinkAbout069-240-06869-24-!W(oa
Gerry Baker
M �65.77 Jack Hill Dr. , lot 13�,KR�k4B,
Orovitle f
contr:Bet:ter Bldrs., Oroville
Permit #3514-81B,P,E,M(new single ?
family) O �► � ,
69-24140,,.
contra 'Better B1drs.Conet, Oroville '
Permit-81B,E-(addition•& inst. {
Jacu 1 & con ersation,pit/SF)
wq .
r • a t
• f
� y $ r� •
G
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69-24-!W(oa
Gerry Baker
M �65.77 Jack Hill Dr. , lot 13�,KR�k4B,
Orovitle f
contr:Bet:ter Bldrs., Oroville
Permit #3514-81B,P,E,M(new single ?
family) O �► � ,
69-24140,,.
contra 'Better B1drs.Conet, Oroville '
Permit-81B,E-(addition•& inst. {
Jacu 1 & con ersation,pit/SF)
wq .
r • a t
• f
� y $ r� •
G
L
1
JOB FINALED (Date)
Signature.
PERMIT NO'
3514-81B,PB
%
A
PERMIT EXPIRES -
OWNER Gerry Baker
--CONTR.
Better Bldrs.Const,
Oro'ville
ASSESSOR PARCEL _69- 24749/4-0
LOCATION 6577 Jack Hill
Dr -jot 139,KRYf4B
oroville
------------
C6�
z.
Temp. Power Pole
Called PG&E
Temp.
Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature.
J = OK
0 = Not OK
- = Not Applicable M#90-R.EH®OHI ES
= Not Ready
Date MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements _
2. Soils; Special MH Support -Sketch
r
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1.' Zoning Requirements -Setbacks -Easements
2. Footings, Size -Depth -Spacing -Connectors
r
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists-Decking-t3racirg-Stairs-Hails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.=Shthg.=Rfg.=Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows-Ddors
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 -e--r �,
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
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7• Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
9. Exits; Insp.-Sketch '
10. Cert. of Occupancy - -
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Card B-1
Date Card-B'I Date
Date Card -BI Date
Card -Bl
Card -BI
Date Card -BI Date
Date Card -BI Date r,
r
O _4- Q( &.
Not Applicable
Not Ready
RESIDENTIAL (Single and Duplex)
Date
UNDER OR (PlAparOK except #'s
Date FRAMING (Continued)
Zo requirements -Setbacks -Easements
48.
penings
Main; Soils - / /" Ftg. Depth ' L
*9
�Ex�ors-One 3• -Check Garage -3rd story, 2 exits
1,
g., Garage; Soils -Steel- / /" Ftg. Depth
rStair
Width -Headroom -Rise -Run -Landing -Fire Protection
F orches & Decks; s -Steel- / /" Ftg. Depth
mwalls, Main; S -Blockouts-Wrapped-Slab
62-MT9i
lywood on Roof Overhang -Attic Vents -Rafter Outriggers
-Nailing-Veneer
�-
Stemwalls Garage; Steel-Blockouts-Wrapped-Slab
o Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Pi - 'replace Ftg.-Steel
Glazing Area -Glass Protection -Skylights -Plastic
a _
W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
55.
Shear Walls; Nailing -Bolts
Water Pip est nchors-Regulator-Service Test
2. Plenums & Ducts; Clearance -Material -Support -Ins.
Gir ers-Sills-Anchor Bolts -Joists -Vents -Cripples
Card -B
to/- - -BI Date rrQ
r1 Gam-;�
Card -BI
to :- Z k`Card-BI Date
Card -BI r
ate - and -BI Date
Card -BI
Date o' - Card -BI ate
Date FINAL (Plans) OK except k's
Card -B Dat Card -BI Date
Date
PLU (Permit) OK except q's
xt. St ps-Door & Sidelight Protection -Landings
moke Detector
Wajz. :; Vent -Access -Combustion Air
58.
- e -Comb. Air-Connector-
In Gar ge; Above Floor -Ducts -Meth. Protection
t6!O7a Pipe; Test & Anchors -Nail Protection
.Wj(--:`fest-Fttngs & Anchors -Nail Protection
ower Pan; Test, First Floor -Tub Access
edroom Exiting
.I. & Bath Fixtures & Tub Access
_
u & Shower, 2nd Floor -Tub Access
rim & Subpanel; Breaker Sizes -Labels
_
19. Gas Pipe; Size & Anchors
it & Rails
it learances-Hearth
64--
Ws at Wood Panel; Int. & Ext.
Card-
ate rd -BI Date
it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date r Card -BI Date
rec. Outlets & Receptacles at Kit. Counter
Date
ELEC L Permit OK except q's
67.
w i ng- Land i ng -C loser
68•
4tEl. Back mer
Fi & Transformer Clearance -Ins. Protection
69.
r. Vcr+le�C.lasr�wca-Cwa&.-Air�EonIn
Itf-TAF=Receptacles Spacing -Lights & Switches at Doors
Boxes & No. of Conductors -Stapled
7
Ib., Elec. &Mech. Equip. Listed for Location
Romex Installed Close to Edge of Studs & C.J.
7L_x1
c. Receptacles in Garage; (G.F.I.)-Romex Protec.
Ground made up w/Mech. Fasteners -Bend -GOA -I, Waser
72.
Insulation -Foam -Looked in Attic
2 Appliance Circuits in Kitchen & Conductor Size
26. u ee Cu or AI-A.C. Wire Si / ga. Cu o
73. Guard Rails & Deck Construct io -Post Caps
7l�
Vents & Crawl Hol Do Drainage &Wood -Earth Clearance
Looked under Floor es
27. Range Circ. / ga. CyAM AI- Cu or Al,
In_ujfffrd Neutral E& --fess ❑ No
75.
Following i Inst rive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ No
ervic -Riser Conductors & Ground -Main Disconnect
ui ePanels-MotorsEquip.
Mech.
76.
Stucco; Bro n -Finish
othes Cloosetset Light -Shower Lightt
34&.C.
Uni ; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
nts Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
ng
Card B-0erior
Card B- -Z�-Date ar -BI Date
Elec. Trim; G.F.I. Receptacle -Underground
lien throughout House
Card B-
Date Card -BI Date
lziipt
Protection
Date
MECH AL (Permit) OK except q's
orrections from Previous Inspections
84.
Ard
9,Ls Te Gas-
A;�Ducts; Insulation &Support
Wate nne e 0 to Gra A rov aM
nergy Compliance Certificate -Other Certificates
33. So t Fan; Exhaust above Insulation
_
3 in &Overflow; Size &Grade
34. f-nmees-� ,Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
Card-3q)___Date
C
and -BI Date
Date Card -BI Date
Card -A
Card -BI
Daard-
te - BI Date
.a --�
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRA Plans) OK except q's
Comments at Final:
_Sills• Proper Material & Anchors
- 54L4Q.
alts; Studs -Nailing, Spacing & Bracing -Plates -Sound
38. Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
<9!ia Stops; Furred Ceilings -Stairs -Chases -Tub
eader & Beam -Size & Bearing
Han ers-Post Caps -Anchors -Connectors
G Ing. Joist-Rftr. Ties-Purlin-Roof Brac. r hthnq.-Rfng.
� Fireplace Tits or Type AFlue-Fireplace Throat
. Atti Access; Size & Romex Protection -Draft Stop -Ins. Baffles
drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
arage Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
A COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
GS"77 allGC /-/i4.C- �
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
P4 S G- i I XTV /L% <
C7 (P L F,41Z el/5n lz.,9_4- L-z-� / T/-/ N i:� u
Inspector/� �` z i Date ��
. COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534 -45",,,,. --
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. "5"*e
CORRECTION NOTICE
&'577 _ V'; vL f-// C C_ V\/t
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector
Date
IN
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, 'please contact this office immediately.
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InspectoL1)/;fDate
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RES IDENf IAL
ENERGY'CONSERVAT'ION STANDARDS
CONSTRUCTION...COMPLIANCE.CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY. CONSERVATION. REQUIREMENTS'HAVE BEEN,
INSTALLED TP CONFORMANCE WITH CURRE ENERGY -CONSERVATION REGULATIONS:'
AT
( location) .:
BUILDING PERMIT NO. 35/c/ �T/,CS fes. /r%:;;.....A.P.....No'.
THE FOLLOWING HAVE BEEN.INSTALLED AS'•:PER APPROVED PLANS:,
(Check each .item:or write'N/A""if :_not applicable)
INSULAT ION : GLAZING:
Slab Edge,,.,, ) •Singl'6=1GIAzodl..
Fdn. Walls. Spec:1a14,(Insulated) _
Floors_ .=.CERT':- & LABELED WDS.
Walls �— _. ,_.&.,SLIDING'DRS
Ceiling/Roof c/ WEATHERSTRIPPED DRS.
Ducts ,j BACK DAMPERED FANS _
Circulating Pipes °,i `-O'.INTERMITTENT. .•IGNITION DEVICES.
APPROVED HEATER / _ _ CERT., APPLIANCES"' ` �y
APPROVED WTR.HTR.
I DECLARE T.HAT ALL` REQUIRED ,TI'EMS AS NOTED ABOVE kiAVE BEN INSTALLED
IN ACCORDANCE WITH THE ENERGY.:CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED:
Insulation Applicator Name
Signature of (Please print)
Insulation Applicator
_ State Contractors
License No.
General Contractor/Owner. Name e-� . J
plea a print)
Signature of
General Contractor/Owner: Date
State Contractors
License No. .Uaa1;zS
L
THIS CERTIFICATE MUST BE' ON .FILE .WITH THE BU ILD ING DEPARTMENT, PRIOR TO
REQUESTING FINAL INSPECTION AND 'SHALL 3E POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMI No.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454
T `APPLICATION AND PERMIT Al
AS ESSOR PARCEL NUMBER
---OUILDING
7rB IN
F0 0
PERMIT
ow R
E EPHONE
SQ. FT. OCC. I BUILDING VALUATION
2 8 ZS
OWNER'S MAILI G ADDRESS
CONNA y TELEPHONE` f `y
1 -.1 ^ `� /
- err
C NTRAC O_ SMAI ING ADDR. S•
f�P l�U' rD_
CONSTRUCTION LEfNDER UNKNOWN
Firenlar,
Total valuation $ 1815 i t33
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS -
Permit Fee
$ ZC S
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ isz,�
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 40'7.M --
BUILDING A DP -FSS- .
S •`�/17
PLUMBING PERMIT.
Filing Fee 10.00
Each Trap
' 2.00
Repair drainage or vent piping
5.00
V •
Water piping
LOT NO.
1
SUBDIVISION NAME PARCEL MAP
-1'{i-_ 68 --?L
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
/ USE OF STRUCTURE
SF Imo' Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New �ddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work:
Permit Fee
$ �p
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP 00V OR ORSLESS
5.00 ^'
Main service EA. ADD'L 100 AMP
2,50
NEW CONST.
OR ADDNS. �ACCL
¢sgft
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 y license is in full fo 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 NON -RESIT F' BRANCH cIRCT Ts 2.50 ea r
NEW CONSTR. / POWER APPARATUS e�
NON-RESID. \SINGLE OUTLET CIR.
so@zn¢
Ex. OCCUp OUTLETS OR FIXTURES BAL@T
FIXED APPLNS. OR
Ex. Occup.(oUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
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
FiIingFee 10.00
Heating
r'
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 ald C ty in consequence of the granting of this permit.
L
%�� s d 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 heigh -
Mobile Home Installation Fee $
rj C1 ,26
TOTAL PERMIT FEE $
OCCUP. GROUP
Z_3
TYPE OF CONST.
V^
PARCE
PD
NO
SSUEi
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE ' Q OF PUBLIC
By
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date �o- i. -d
r
Receipt No. �—� `S j P 5 ( '"�
WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECT O GOLDENROD -APPLICANT ,S .2
y COUNTY OF BUTTE - DEPARTMEWf OF'PUBLIC WORKS - BUILDING DIVISION
-'' '7 COUNTY CENTER;DRJ.UEt OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
AAA PERMIT APPLICATION DATA SHEET
Permit No.
OWNER Av � _ A. P. No. 6 ^a4 �3g
Proposed Building Use S
Permit Fee Based Upon:Complete @"ontract ,Price DPW Valuation
Other ( xplain)
Building Inspector Date_T��
At time of permit application, I was advised tfie following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
All items have b 'tte . . . . .
2. Plot pia In duplicate./t ' r e. JZi
3. Complete p ans 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.
Fees of $ . . . . . . .
9: Letter of signature authorization.*8*
0. Sanitation approval from /�� r�. 0 � . Health Dept. • �. s �
wL
11. Planning approval for (A) Use: (B) Parkin r'
Certificate of Workmen's Compensation Insurance. /
13. Contractor's License Information (no., name style, classif.)v .
14. Owner -Builder Verification (Given to owner❑,,Mail to owner ❑ )
15. Improvements may be required. . . . . . E. . . . . .
16. Mobilehome Installation Data. . . . . . .
17. Pre-Asspectioin for Re uired.•Pre-Inspec. request to (Date)
q Building Inspe18. Other f "S'gr
Wh y u issue the permit; process..as follows: Mail to owner. kZ Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
AppIicantDate
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at Qmp.otpplication, circle item.),
1. Index permit for above' Items No. l
2.- Additional items required:
ontractor Designer, Owner) was advised of above required data by Telephone Mailter
By Date 1,(3-5,lal
Plans checked by_
Plans approved by
Other
Copy—DPW
Date
Date
3 S-. Z 5
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovilie, California 95965 - Telephone 916/534-4541
RPPLIUTl N AKjfi-FRMIT
PERPII NO.
-
AS ESSOR PARCEL NUMBER
I — f
OW Rr
-----------
BUILDING PERMIT
E EPHOIJE
OWNER'S MAILI G ACD ESS G
CTOR'S N_A M _
TELEPHONE
Y_.^�
C /NTRAC, O.)j'•S MAI ING ADDR - S
CONSTRUCTION L NDER
L'(JKNO'�i (•1
SO. FT. OCC. BUILDING VALUATION
��
�/ ��
�—
�r'
_— ->_
, r otaI Vaivai;on S
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
Filing Fee
$ 10.00
Permit Fee`5
Plan Checking Fee
GSA '
ARCHITECT OR ENGINEER.'S MAILING ADDRESS
BUILDING Ar 5
Penalty
$ W
Permit fee'
g A/d �
PLUMBING PERMIT
FilingFee 10.00
Each Trap
r 2.00 ?)•
—
NO. SUBDIVISION NAMEEL MAP
tAR
�Gas
Repair drainage or vent piping
5.00
Water pipingLOT
Each pas water heater or vent5,00
piping system 1 - 5 outlets
/ USE OF STRUCTURE
SF U Duplex❑ Mob ilehome❑ Other
Sr CIFy
- �/ TYPE OF WORK
E3--/
E3
New - Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work:
'
Building sewer
�-
Lawn sprinkler system
5.00
Permit Fee
$ ! = 11
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR LESS 600V OR LESS
5.00
Main service EA. AOD'L 100 AMP
2.50 --,�
CONTRACTORS LICENSE LAW
1 declare under penaltyof Perjury (check One):
�am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code
^r�rny license is in tull for and effect.
License No. �'�C�o�� 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 sa!e. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
On ANEW -D DCC L I G O - yi
�,`i (t�'r
,�)�
NFvr ONSTR u Tl.ou
ESID. BRANCH(
0 e:
NEW CONSTR (POWER APPARATUS R1
NON-RESIC. SINGLE OUTLET CIH. I
Ex. Occup(OUTLETS OR FIXTURES
@�'1
BAL�t(k
FIXED S ((ESIPPLNS. OR ``
Ex. Occup.(ouTLETs (RESID.) EA.)
2.00
Temporary service
10.00
`v'(obile Home Facilities
15.00
Misc. Wiring
7,50
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The.permit is for $100.00 (valuation) or less.
Jy 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 shal I be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating 0
Cooling
Hood
3.00
Ventilation.
Permit Fee
g
Contractor
is correct. I agree to comply to al�a
l CountyOrdinances and State \ information
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 aid Cotintv in consequence of the granting of this permit.
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.
Receipt No -!'j (c�, V C.) -__'Di
.WHITE-L-.P.W.; YELLOW -ASSESSOR. PINK -INSPECTOR. GOLVENROO-APPLICANT
•° v „y,11c 9lRA10II0l3V1I rCC ,
TOTAL PERMIT FEE C%�
Occup. GROUP I TYPE OF C0115TT.- PARCE ,f`D , No ISSUE
;J` ✓I
This _ )
p it is Oreby�is�st�ie�under the applicable provi-
sions -f'the Butt e;County3Codnd/or resolutions to do
wor, 4ndi a4d a for Eich fees have been paid.
Jvnp'
Of OR OF PUBLIC WORKS
By Date
PERWIT EXPIRES Date
Telephone .
' 533.2000
North Burbank Public Utilit' District
1960 Elgin Street
OROVILLE; CALIF0RNIA-95965. 67 -
DISTRICT APPROVAL AND
VERIFICATION OF INSPECTION'
BUILDINGSEWERS
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:
4
Applicant: GARY .BAKER (Better Builders Construction)
Applicant Address: 1627 ornTaa I 1 Tari e_ NPurnrt Beach CA 92660
Applicant Phone No.: 714-646-2945;
Property Location(s);d6577 Jack Hill Drive
} Kelly Ridge Estates Lot 139 - Unit 4R
A. P. No. (s): X069-24-0-039-0 034-83-0-039-0
Fees Paid: ALL FEES PAID : '
Application. for service approved: l
JUNE 30, 1981,` North Burbank
7. Public Utility District
Inspection(s) made and successful test (p) observed:
Location: Date:
By: ,
North Burbank Public Utility District rel"ease to close permit: '
Date: By:
Return to DPW
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 8-1-31! 07 2.
FOR RESIDENTIAL DEVELOPMENT `
Section 26-8.1 of the Butte County Code requires this acknowledgement BUTTE C0UH 1! -. `.i::.`":F
be recorded prior to issuance of a building permit. �0 F�'% Z :
The property described herein is adjacent tov land or included OCT ( Z6�a:. (nth
within -an area zoned for agricultural purposes, and residents of C`ARK A. iNELS. 0 t
this property may be subject to inconveniences or discomfort arising CLERK-RECORLIEri. _J
from the use of agricultural chemicals, including, but not limited to herbicides, FSE
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise,'and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be prepared -to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate,, -in the County of Butte, State of California,
described as follows:
Lot 138, as shown .on that certain map entitled, "KELLY RIDGE ESTATES UNIT 4B",
which map was filed in the office of the Recorder of the County of Butte, State
of California, November 10, 1977 in Book 58 of Maps, at pages 73, 74, 75, 76 and 77.
Subject to all easements, rights of way and restrictions of record.
Date: SEPTEMBER 28, 1981
State of CALIFORNIA )
) SS.
County of ORANGE )
......... ........ .............
,���...... .......
OFFICIAL SEAL _
1!E " CECILIA A. PAGIM
1 i,'r Notary Public Celtloinis €
V . ORANGE COUNTY
' My Commissisn hpius April 2, 1984 5
.............. .s....m......... .................. ..mu...,u........�.i.
PROPERTY OWNERS:
cy I
Gal7y F. Baker
On this the 28TH day of SEPTEMBER 19 81
before me, the undersigned Notary Public, personally
appeared GARY F. BAKER
known tome to be the person(s) whose name(s) IS
subscribed to the within instrument and acknowledged
that HEexecuted the'same for the purposes
therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
Notary Public
Present A.P. NO.
r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County enter Drive - Oroville, Carfornia X5965 -Telephone 916/534-45
Xy�--/
` APPLICATION AND PERMIT
ASSESSORPARCE,L NUMBER
7-4�crf ��r/q
ZONING I
BUILDING PERMIT
OWNS
TELEPHONE
, S0. FT. OCC. BUILDING VALUATION
Q D
OWNER'S MAILING ADDRESS
AME
CONTRACTOR'S I l._1e— NR L-te L� 5
Q,, � 4
CONTRACTOR'S MAIL/IN'Gq ADDRESS v
(DI� Cj _W0a Tj-�
Firenlace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation I $
Cf Ci 16 ..��
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ Oa
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$ b 30.`J`
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ W_SO
BUILDING ADgRr � _ �e ,
(O� LL
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO
SUBDIVISION NAM �j
��. 4�
PAR''CE'L7 M
�Opp' /
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition � Remodel Utilities ❑ instal latAi�n❑ Other ❑
Describe work: J �vQ/v pT
xTe
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORS
SLESS
5.00
bL Q 2r /
1J J ✓
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OC GSI fZ'
OR ADDNS. ( ACC, BLDGS. .71 `/
2 C ft &P
67q
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
R I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Codeand my license is in full force and effect.
License No. 2.4� � -1" Classification E.JFIP/aI
❑ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 1, 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 NON.RESID R. BRANCH CIRCMULTI-OUTT Ts 2.50 ea
NEW CONSTR. (POWER APPARATUS S1
NON.RESID. SINGLE OUTLET CIR. /
Ex. Occup OUTLETS OR FIXTURES BAL@1
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
ALL UAMMZZI WIPW41•�(�
Permit Fee $ Z
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
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 liabilities, judgments, costs, and expenses which may in any way accrue
agai st sai County in consequence of the granting of this permit.
X Date Xy -P-19/
Signct,4e of A plicant — Owner ❑ Contractor ® Agent ❑
An OSHA permit is required for exc votions over 5'0" deep and demolition or construct-
ion of structures over 3 stories in h ght.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
occuP. GROUP
I TYPE OF CONST.
PARCEL
PD
HD
ssu
This permit is hereby issued under
sions of the Butte County Code and/or.
work indicated above for which
DIRECT OF PUBLIC
By 'i'�..—
PE I EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date y/ i�-
Q
Receipt No. fJ S� �Z�e $C7
WHITE-D.P.W., YELLOW -ASSESSOR PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTEk -. DEPARTMENT,, -DF .PUBLIC WORKS - BUILDING;D'IVISION
7 COUNTY CENTEoA DRi - OROVILLE, CALIFORNIA 95965 - TELEPHONE,!916/534-4541 j
PERMIT APPLICATION DATA SHEET ? s
n� Permit No.
C�I 2
OWNER �� ,Y, 13A-, r --PA. P. No.v� �Z
Proposed Buildi,ngUse
Permit Fee Based_ U,p Complete Contract Price DPW Valuation
Other (Explain)
Building Inspecb r Date
�t
At time o/permit application, I was advised the following data must be submitted prior to permit processing
Aand/or 5suance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . ... . . . .
.2. Plot plans in duplicate./triplicate. . . . . . . . . . .
3. Complete plans in duplicate./triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6.' State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner[], Mail to owner F-1
15. Improvements may be required. . . . . . . . . . .
16. Mobi lehome Installation Data. . . . . . •.
Pre-Inspec. request to
17. Pre -Inspection for Required. Building Inspector (Dote)
s
18. Other
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Applicant Date /a-99
1
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
Plans checked by_
Plans approved by_
Other:
Copy—DPW
By
Date
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