HomeMy WebLinkAbout069-250-01869- 7S'-/8 - ..
• w Tom ogers �'�/wQ �C/f�
5328 Tre sure Hill Dr . lot .22A KR�kN B ` _0 _I �,)•L�'PJ �g •:�1 _
E, Orovil le�
,r Permit IP3971-79$ P,E,M( a n..
family) - �._. 3 e :=
�Q-7
2S- I
Per mit#SOrS--80B (1st renewal/39'
f r y
69-"25-18 s. . Fes'; '`. 1980+ OB, P E M f
GABRIELSON,,_-Harden
5328 Treasure'.Hill Drive, Orovill
.Conti: Theveos Construction"
(addition.& remodel/SF -
- ; '.. yea '.y-9o'
. `� 0 5-0-018 ' =- - 92=3457 ,B ,....- .
GABRIELSON, Halden t.-
• '5328 Treasure. Hill. Dr, Oroville-'
• contr: Better'Builders y
deck '& stairway/sf
F •r ,
i -
,
J u •
P r •
RESIDENTIAL {
x_069-25-0-018 92-3457 B
GABRIELSON, Halden
L 5328 TreasureHill Dr, Oroville
contr: Better,'Builders
deck& stairway/sf'
�, �� roti
JOB FINALED (Date)
Signature
J=OK
O = Not OK r
Not
= Not Readyable 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/ /% "ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility 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 B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-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 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' -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
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O=Not OK
Not
= Not Readyable RESIDENTIAL (Single
Date UNDERFLOOR (Plans) OK except If's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
& Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Bra c-Truss-Shthng. -Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5 Stemwalls Main Steel-Blockouts-Wrapped ----
- - 23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
---------- ----------------------------------------------------------
25. Romex Installed Close to Edge of Studs & C.J.
-----------------------------------------------------------------------------
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
--------------------------------------------------- ---------------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFl
-- - ------------------------------------------------------------
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or At
---------------------------------------------- ----
29 Range Circ r r ga. Cu or AI -Oven Circ. / ! ga. Cu or Al.
Insulated Neutral 0 Yes 0 No
-------------------------------------------------
30. Service -Riser Conductors & Ground -Main Disconnect
---------------------------- ----------------------------------
31 Equip. Clearances Panels-Motors-Mech. Equip.
-------- ---------------------------------------------------------
32. Clothes Closet Light -Shower Light -Spa Light
----------------------------------------------------------------------
33 Smoke Detector
------------------------------------------------------------------------------ ---
Date Card -B-1 Date Card -B --I.
--------------- ------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except ti's
34. -.A. -C.- Ducts Insulation & Support
-----------------------------------------------------------------------------
35. Vent Fan: Exhaust above insulation
---- - -- - -- ----------------------- ------- ----------
36. Condensate Drain & Overflow: Size & Grade
--------------------------------------- -- - - ---- -------
37.
- ---37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
- -- -- ---- -- ---------------------- ----------
38. Attic Access & Platform if Furnance in Attic
---------------------------------------------------------------
------------------------------------------ ----------- ---------------------------
Date Card -B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except ti's
39. Sils. Proper Material & Anchors
- ----------------- ---------------------- ---- - ------
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
------ ---------------------------------------------------------
41. Bearing Walls over Girders & Floor Nailing
- - -------------------------------------------------------------- -------
-------------- 42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
----------------------------------------------- ------- ---- ------------- ---
44. Headers & Beam -Size & Bearing
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
---------------------------
53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55 Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights- Plastic
58, Shear Walls: Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
------------------------
Date ------ -----Card B-1
Date Card B-1
Date _ Card B-1
Date Card B-1
Date FINAL (Plans) OK except ti's
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
---------------------------- -
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
----------------
-------------
-------- ---------------------
64. Bedroom Exiting
65.--G.-F. I-. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
---------------
67. Stags & Rails
68. Fireplace or Stove: Clearances -Hearth
-------------- - ----------------------
69. Elec. Outlets at Wood Panel: Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
------ -- -------------------------
71. Elec. Outlets & Receptacles at Kit. Counter
------------------------ ---
72. Garage Fire Door: Swing -Landing -Closer
------------------------------------- ----
73. A.C. Duct in Garage -Damper
------------------------------- -----
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor -Meth. Protection
75 Plb. Elec. &Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
-------------- 7,. Insulation -Foam -Looked in-- Attic 0 Yes
-------------------------- -
78. -Guard -Rails & -Deck-Const ruct ion -Post Caps
79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor O Yes
80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No;
Planters 0 Yes 0 No
------------------------------------------
___81.._
---------------------81. Stucco:Brown_Finish--------
82. A.C. Unit: Disconnect. Electrical, Plumbing
- - ---------------------- ---- - --
83. Vents Above Roof; Plb9 APP liance-Fire p lace. -Clearance to
Openings
...... --------- ------------------------
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim: G.F.I. Receptacle -Underground
86. Ventilation Throughout House
.. . - ------------------------------------------
87. Glass Protection
------ -------------------------
88 Corrections from Previous Inspections
--------- -------------------------------------
89. Gas Test -Meters Tagged; Gas -Electric
- - - - - - - - - - -- ------------------ ----------------------
90. Water & Sewer Connected -C/O to Grade -HD Approval
------ ----- ----- -- - --------------------------
91. Energy Compliance Certificate -Other Certificates
---------------------------------
------ -------- - - ----------------------------- ----- ----
Date Card -B-1 Date Card B-1
Date Card B-1 Date Card B-1
------- - --- -------------------------------------
Date Card B-1 Date Card B-1
Comments at Final:
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date
Card B-1 Date -Card-B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permil),OK except ti's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
17. Water Pipe: Test & Anchor -Nail Protection
------
18. D.W.V.;-Test-Fittin s & Anchor -Nail Protection
--------------- - --------------------
19. Shower Pan: Test. First Floor -Tub Access
-
-----------------------------------------------------------------------
Date
---------------------
Date
Date
20. Test Tub & Shower. Second Floor -Tub Access
- - -------- -----------
21. Gas Pipe: Size & Anchors
--
Card B-1 Date Card B-1
- ---------------- -- -------------------
-------------
Card B-1 Date Card B-1
Dale
ELECTRICAL (Permit) OK except n's
22. Fixture & Transformer Clearance -Ins. Protection
- - 23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
---------- ----------------------------------------------------------
25. Romex Installed Close to Edge of Studs & C.J.
-----------------------------------------------------------------------------
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
--------------------------------------------------- ---------------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFl
-- - ------------------------------------------------------------
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or At
---------------------------------------------- ----
29 Range Circ r r ga. Cu or AI -Oven Circ. / ! ga. Cu or Al.
Insulated Neutral 0 Yes 0 No
-------------------------------------------------
30. Service -Riser Conductors & Ground -Main Disconnect
---------------------------- ----------------------------------
31 Equip. Clearances Panels-Motors-Mech. Equip.
-------- ---------------------------------------------------------
32. Clothes Closet Light -Shower Light -Spa Light
----------------------------------------------------------------------
33 Smoke Detector
------------------------------------------------------------------------------ ---
Date Card -B-1 Date Card -B --I.
--------------- ------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except ti's
34. -.A. -C.- Ducts Insulation & Support
-----------------------------------------------------------------------------
35. Vent Fan: Exhaust above insulation
---- - -- - -- ----------------------- ------- ----------
36. Condensate Drain & Overflow: Size & Grade
--------------------------------------- -- - - ---- -------
37.
- ---37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
- -- -- ---- -- ---------------------- ----------
38. Attic Access & Platform if Furnance in Attic
---------------------------------------------------------------
------------------------------------------ ----------- ---------------------------
Date Card -B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except ti's
39. Sils. Proper Material & Anchors
- ----------------- ---------------------- ---- - ------
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
------ ---------------------------------------------------------
41. Bearing Walls over Girders & Floor Nailing
- - -------------------------------------------------------------- -------
-------------- 42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
----------------------------------------------- ------- ---- ------------- ---
44. Headers & Beam -Size & Bearing
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
---------------------------
53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55 Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights- Plastic
58, Shear Walls: Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
------------------------
Date ------ -----Card B-1
Date Card B-1
Date _ Card B-1
Date Card B-1
Date FINAL (Plans) OK except ti's
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
---------------------------- -
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
----------------
-------------
-------- ---------------------
64. Bedroom Exiting
65.--G.-F. I-. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
---------------
67. Stags & Rails
68. Fireplace or Stove: Clearances -Hearth
-------------- - ----------------------
69. Elec. Outlets at Wood Panel: Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
------ -- -------------------------
71. Elec. Outlets & Receptacles at Kit. Counter
------------------------ ---
72. Garage Fire Door: Swing -Landing -Closer
------------------------------------- ----
73. A.C. Duct in Garage -Damper
------------------------------- -----
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor -Meth. Protection
75 Plb. Elec. &Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
-------------- 7,. Insulation -Foam -Looked in-- Attic 0 Yes
-------------------------- -
78. -Guard -Rails & -Deck-Const ruct ion -Post Caps
79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor O Yes
80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No;
Planters 0 Yes 0 No
------------------------------------------
___81.._
---------------------81. Stucco:Brown_Finish--------
82. A.C. Unit: Disconnect. Electrical, Plumbing
- - ---------------------- ---- - --
83. Vents Above Roof; Plb9 APP liance-Fire p lace. -Clearance to
Openings
...... --------- ------------------------
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim: G.F.I. Receptacle -Underground
86. Ventilation Throughout House
.. . - ------------------------------------------
87. Glass Protection
------ -------------------------
88 Corrections from Previous Inspections
--------- -------------------------------------
89. Gas Test -Meters Tagged; Gas -Electric
- - - - - - - - - - -- ------------------ ----------------------
90. Water & Sewer Connected -C/O to Grade -HD Approval
------ ----- ----- -- - --------------------------
91. Energy Compliance Certificate -Other Certificates
---------------------------------
------ -------- - - ----------------------------- ----- ----
Date Card -B-1 Date Card B-1
Date Card B-1 Date Card B-1
------- - --- -------------------------------------
Date Card B-1 Date Card B-1
Comments at Final:
/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATIONAND PERMIT
PERMIT NO.
Z� y7
1
ASSESSOR PARCEL NUMBER
069-250-018
OWNER HAIDEN GABRIELSON
ZONING
RT 1
TELEPHONE
BUILDING PERMIT
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
5328 TREASURE HILL DRIVE OROVILLE 95966
250 0 1,750
CONTRACTOR'S NAME
BETTER BUILDERS
TELEPHONE
589-2574
CONTRACTOR'S MAILING ADDRESS
5263 ROYAL OAKS OROVILLE 95966
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 1,75
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$ 34.50
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$ 20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
5328 TREASURE HILL DRIVE OROVILLE 95966
Permit fee
$ 69.50
PLUMBING PERMIT
Filing Fee 115.00
Each Trap
1 5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF® Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S G W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: CONVERT EXISTING DECK COVER TO_OPEN DECK
iTH NEW STAIRWAY FOR. ACCESS
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200V OR LESS
00A OR LESS
18.50
CONTRACTORS LICENSE LAW
I declare u penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIne$$
and Professions Code and my license is In full Le and effect.
License No. Z� S Classification
Fl 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract -
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200A TO IOOOA)
37.50
NEW CONST.( ACC. BLDGS. DWELLING OCCUP.&\
OR ACDNS.
3.6Q sq.ft.
NEW CONSTRULTI-OUTLET
NON-RESID BRANCH CIRCITS
@ 5 00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES
20@76
JAL- 0 46
Ex. Occup. OUTLETS PRESID,)REA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ Th mit is for $100.00 (valuation) or less.
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.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
Hood
6.50
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, jud ments, costs, and expenses which may in any way accrue
agai said ou i ence 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.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ 69.50
IMP FLOOD I CDF I PARCEL PDISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
Work indicated ab a for which f ees
OR F UBLIC
BY
PER T EXPIRES Date
applicable provi-
�
resolutions to do
have been paid.
WORKS _
Date v'
Receipt No. 125948
WNITE•D.P. W., YELLOW -ASSESSOR, PINx•INSPECTOR, GOLDENROD -APPLICANT
i
j. {rR'.�,.-� :1^yt'1,•�-- ice.. }-.��-n....- .r 1,�1at.. � ��Y7�-,• --c. .'�:i. •,=�°Yi '.r•�q�. :i. .s � ..r
COUNTY OF BUTTE i,r,. PARTMENT:6 0UBLIC WOFBUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7546 /"
PERMIT APPLICATION
OWNER Al I� 6 /�r&-s o D -
Proposed Building Use
Ve✓+ Decl< c o U
DATA SHEET
Building Inspector
�P. No.
Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ........................ .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of$ ..........................................
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ........................
Flood elevation letter (100 year floe)o W C *f�nia Engineer. ............ .
14. '3anitation and plot plan approval Health Department . .............
15. City of Chico plumbing permit . ........................................ .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). .. ... ....
20. Pre -inspection for Pre -Inspection request--
required. . to Building Inspector (Dale)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _)............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ....................................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ......
27. Letter of intent on building use..........................................
28. Mobilehome utility clearance . ......................................... .
29. Documentation of legal access . ........................................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . .............. .
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at off' Deliver with inspector.
Other
Parcel Creation z 9
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
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 -mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _Date
Plans checked by Date Plans approved by Date
r
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
Better Builders
5263 Royal Oaks
Oroville, CA 95966
I COUNTY CFNIER DRIVE - ')ROVILLF. CALIFORNIA 95965.339/
TELEPHONI.: 19161 5536-7541
FAX: 19161 53£3-2 i 40
October 1, 1993
RE: Building Permit #92-3457
Expiration Date 10/08/93
A.P. # 069-250-018
Dear Mr. Starr: Owner: Haiden Gabrielson
For: Conv. Exist. Deck to Open w/stairway
With reference to the above subject, our records indicate that your building
permit expires on the above date and your permit falls into the category marked
below:
❑ Permit work started, but not completed. Permit may be renewed for 2 the
original building permit fee (plus a $20.00 filing fee). The renewal
permit will extend the building permit for an additional year from the
original expiration date. Should you not renew your permit within 30
days of the expiration date, all work must cease until a new building
permit has been issued. For your convenience, we are enclosing a renewal
application form and owner -builder form to be completed and signed by
you where indicated and returned to this office together with the fee
shown. Please return all copies of the application form.
No inspections have been made on permit work. Inspections are required
to verify code compliance. We are unable 'to renew a permit where the
work has not been started and inspected prior to permit expiration.
After expiration of your permit, no work may be started until a new permit
has been issued.
If our records are in error or should you have any questions concerning this
matter, please contact the Oroville office.
Thank you for your prompt attention concerning this matter.
Yours very truly,
JFG:hla j J.F. Glander
cc: Building Inspector Manager, Building Inspection
Attachments: ❑ .Renewal Application.
❑ Owner -Builder Information
❑ Owner -Builder Verification
Chico - 1469 Humboldt Rd/891-2751 Paradise - 745 Elliott Rd/872-6307
�= RESIDENTIAL
69-25-18 ti98
O'9.OB,P,E,M
,GABRIELSON, Halden i
5328. Treasure `
Contr.: HilI' -
Ir ve
Theveos Constructionevl`lle
,x .. (addition
&remodel/SF)"
J=OK
O = Not OK
'= Not Readyable 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. Utility 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 B-1 Date Card B-1
rd.w�
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stars -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg: Rfg: 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 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' -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
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O = Not OK
- = Not Applile
Read
Not Read �.. RESIDENTIAL (Single
' =
Date XNDE OOR (Plans) OK except #'s t
Zo -Setbacks-Easements-Flood-Slope
ig., in; Soils-Elec. Grnd.- tg. Depth
_12
e; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Sia - eel -Wrapped
P'firs-Fireplace Ftg.-Steel
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground /
13. Fienums & Ducts; Clearance -Material -Support -Ins.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 aj� Date Card B-1
Date PLUMBING (Permit) OK except #'s
16. cess- fie
Water Pipe; Test & Anchor -Nail Protection
01 /y.V.; Test -Fittings & Anchor -Nail Protection
L19.-SF>oweF Pan Test, First Floor -Tub Access
20.effesLZuk & r, Second Floor -Tub Access
2t-15as-Pipe;vize & Anchors
Date 5 /L Card B-1 Date Card B-1
Date 7 Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
22.'Pixtare-&-Transformer Clearance -Ins. Protection
1.2�Eiec. Receptacles Spacing -Lights & Switches at Doors
Size Boxes & No. of Conductors -Stapled
R mex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
273'2: ' ce C'ircuts in Kitchen & Conductor Size/GFI
28. ire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29.angeR - Circ.7-7 ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. twee -Riser Conductors & Ground -Main Disconnect
31. p. earances Panels-Motors-Mech. Equip.
othes Closet Light -Shower Light -Spa Light
`"33. Smoke Detector
Date 9 /,� il Card 8-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL Permit OK except #'s
A.C. Ducts Insulation & Support
Vent Fan; Exhaust above insulation
36. on ensate Drain & Overflow; Size & Grade
37. Fu Hance=Vent Access -Comb. Air -Return Air Vent -115 outlet
38. A ccess & Platform if Furnance in Attic
Date �° rjJ
Card B-1 9 Date Card B-1
Date
Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
64'S:Ils,
Proper Material & Anchors
W IIs Studs -Nailing, Spacing & Bracing -Plates -Sound
L441
-Bearing Walls over Girders & Floor Nailing
42.
ft Stop in Walls (rat proof)
3.
re Stops; Furred Ceilings -Stairs -Chases -Tub
4.
Headers & Beam -Size & Bearing
& Duplex)
Date FRAMING (Continued)
Hangers -Post Caps -Anchors -Connectors
Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng.
47- UeplaceJjgs or Type A Flue -Fireplace Throat clearance
48. e & Romex Protection -Draft Stop -ins. Baffles
49..�drm-Vindaws or Exiting Doors -Sill Hgt. &Dimensions
50.'6arage�7U-Protection Framing
57 ocnperty i ine Firewall & Openings
52. E6rs-One 3' -Check Garage -3rd Story, 2 Exits
fairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. ptyweed era Regf Overhang -Attic Vents -Rafter Outriggers
ung -Nailing Veneer
5 . ucco es -Drip Screed -Fd. Vents-Underflr. Access
lazing Area -Glass Protection -Skylights -Plastic,
50.=_Q r Watts;.Nailing-Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Dater/ Card B-1 u Date Card B-1
Date FIN Plans OK except #'s
1. Ext, Steps -Door & Sidelight Protection -Landings
Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector- J.
•- trr- aragW-ove Floor-Ducts-Mech. Protection
om xrting
Bath Fixtures & Tub Access -Spa
Elec. Tri Subpanel; Breaker Sizes & Labels
airs & Rails
68. ��•^Lace ox�tov�learances-Hearth
ec. Outlets at Wood Panel; Int. & Ext.
7 fiance; Grnd.-Air Gap -Cooking Clearance
Receptacles at Kit. Counter
ire oo ; Swing -Landing -Closer
rage -Damper
74. fearance-Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
ZSrPFb-Flee. & Mech. Equip. Listed for Location
76. Ele e; (G.F.I.)-Romex Protection
7 oam-Looked in Attic 0 Yes
ails & Deck Construction -Post Caps
dn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
80. Following instld.; Drive 0 Yes No; Wilks 0 Yes ❑ No;
Planters ❑ Yes ❑ Not //�/
l_su =co wn-Finish
8�2 C.kJnit" Disconnect Electrical Plumbing
83:-AVents-Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84-iMeteN/Vett-D1sconnect, Electrical, Plumbing
xterior Elec. Trim; G.F.I. Receptacle -Underground
8 entilatipn Throughout House
87 ss Protection t
.aa-Lorxections-from..P.revious Inspections
cs-Tagged; Gas -Electric
ewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
a 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541• .
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION ' NOTICE�ot�o
�a�rle �sv
OWNER PERMIT NO.
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 ti
m tter, or need additional explanation, please contact this office immediately.
3,J U ;�
_�. s
Date .� / Inspector
ENERGY CERTIFICATION.
LOCATION A. P NO.
ROOF
MATERIAL
BRAND NAME
THICKNESS
THERMAL RESISTANCE - (R VALUE)
EXTERIOR WALL
MATERIAL FIBEGLASS
BRAND NAME CERTAINTEED_ _
THICKNESS (INCHES) �` t1 at THERMAL RESISTANCE (R VALUE) �-
CEILING
BATT OR BLANKET TYPE FIBERGLASS
BRAND NAME CERTAINTEED
THICKNESS
THERMAL RESISTANCE (R VALUE)
LOOSE FILL TYPE —FIBERGLASS
BRPND NAME � CERTAINTEED
:MINIMUM THICKNESS (INCHES)
NUMBER OF BAGS WT PER BAG 25 LB
AREA COVERED (SQ FT)
THERMAL RESISTANCE (R VALUE)
FLOOR, ELEVATED
MATERIAL FIBERGLASS
BRAND NAME CERTAINTEED
THICKNESS (INCHES)_ �/�
THERMAL RESISTANCE (R VALUE)-k!3�
FLOOR, SLAB
MATERIAL
BRAND NAME
THICKNESS (INCHES)
THERMAL RESISTANCE (R VALUE)
FOUNDATION WALL
MATERIAL
BRAND NAME
THICKNESS (INCHES)
THERMAL RESISTANCE (R VALUE)
I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE
ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIFORNIA ENERGY
REQUIREMENTS.
HAWKINS INSULATION _ 379407
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
SIGNATURE DATE
I HEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED ITEMS AS SHOWN
ON THE BUILDING DEPARTMENT APPROVED PLANS AND ATTACHMENTS HAVE BEEN
INSTALLED AS REQUIRED BY THE STATE OF CALIFORNIA ENERGY REQUIREMENTS.
ALL EQUIPMENT, DEVICES AND MERTIALS ARE OF THE QUALITY PRESCRIBED OR
ARE SPECIFICALLY APPROVED BY THE. STATE OF CALIFORNIA.
Ae- -
FIRM ��WN R _ STATE CONTRACTOR'S ,LICENSE N0.
SIGNATURE GEN. CONTRACTOR/OWNER DATE
-1-
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541
• APPLICATION AND PERMIT
_ - � _
PERMIT NO.
1980-90
ASSESSOR PARCEL NUMBER ZONING
69-25-18 T-1
BUILDING PERMIT
OWNER TELEPHONE
HALDEN GABRIELSON 589-5222 $ 989
so. FT. OCC. BUILDING VALUATION
769 R 30,400
OWNER'S MAILING ADDRESS
5328 Treasure Hill Drive
NTRACTO SNAME
�liteveos onstruction
T ELEPHONE
533-0716
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 1987.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
98.75
Energy Plan Checking Fee
A$.
$ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
S19R Tregglirp Hill Drive. oville
Permit fee
$ 321.25
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 6.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00 5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑(X)Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home Is G W
10.00e
TYPE OF WORK
New ❑ Addition ❑X Remodel a Utilities ❑ Installation❑ Other ❑
Describe work: adding habitable space under house
framed floor
Permit Fee
$ 26.50
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
CONTRACTORS LICENSE LAW
(check one):
1 declare under penalty of perjury )
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profess i s Code and my license is in full fP e and effect.
License No. V Classification It
❑ 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 CONST. ( DWELLING OCCUP.tr)
OR ADDNS, l ACC. BLDGS.
2yZQSgft 19-00
NEW CONSTR. ULTI.OUTLET
NO N•RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
0
5 300
aAL0FIXED
APLNS
EX. Occup. OUTLETS P(RESID )REA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Iyirin g
15.00
Permit Fee
$ 29.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
�7( I have placed on file with the County of Butte Building Department
�J 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.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
1 3. Od 3.00
it Fee
Permit
$ 13.00
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 t ve, indemnify and keep harmless the County of Butte against
all liabilit' u gments, cos , and expenses which may in any way accrue
against i ns uence of the granting of this permit.
•./�`��
X Date `�
Signature of Applicant - Owner ❑ Contractors 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 $
occ
CONST TYPE
A
TOTAL E $
419.
HAz
CUA
PARK
FE
P
HD UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated abov for which fees
DI EC R.0 LIC
By
PER IT EXPIRES ate
the applicable provi-
resolutions to do
have been paid.
WORKS
ate
Receipt No. c����
WHITE-D.P.W.. YELLOW -ASSESSOR, PINNSINSPECTOR, GOLDENROD -APPLICANT
FOR M %
ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET
PACKAGE "A" (Additions)
Owner Climate Zone
Permit # Floor Area
The following data showing mandatory and required features of Package "A" shall
be installed for additions to dwellings. Additions to dwellings include room
additions, converting garages and patios to living areas, house moves that add
footage and attic conversions, and any space that is existing non -conditioned
space that is converted to conditioned space. Remodeling of existing conditioned
space is not included.
ZONE 11 ZONE 16
APPLIES TO NEW AREA
CEILING
R-30
WALL
R-11
FLOOR
R-11
K-9
SLAB
R-7
GLAZING
U-.65 (Dual)
Dual)
SHADING
SOUTH - OPTIMUM OVERHANG
or .36 Shading Coefficient
WEST - .36 Shading Coefficient
LOOSE FILL INSULATION (Density)
INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking)
VAPOR BARRIER (Zone 16)
DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10
LIGHTING.KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING
NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN
CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK
OF THIS SHEET.
OTHER
12/85
'1- .'HEATING VENTILATING AIR CONDITIONING SYSTEM
(A) Heating
❑ Central Gas Furnace
(brand and model number) SE
Btu/hr
(heating capacity)
❑ Heat Pump
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
❑ Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt raced y -intercept
❑ Other
(describe)
*1. (B) Cooling
❑ Electric Air Conditioner
(brand and model number) (seasonal EER)
Stu/hr
(cooling capacity at 95°F)
0 Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95."F)
❑ Other
(describe)
DOMESTIC WATER SYSTEM
❑ (6) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
❑ *2 Active Solar
(collectorbrandand model number)
(rated y -intercept) (rated slope) (solar fraction) 2
ft
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑ Location of Solar Panels
❑ Other
(Describe)
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form 464) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature °, elevation heating load BTU
elevation factor x heating load maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature ', cooling load BTU
*2 Submit T.I.P.S.E chart'or other approved system (form 465) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building des ets the requirements of
Title 24, Part 2, Chapter 2-53 of the California in ation C e.
SI ATURE OF BUILDING DESIGNER OR APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965` -Telephone: 916/538-7541
SSESSOR PARCEL NIIMfiPo APPLICATION AND PERMIT
0 -0(6 ZONING
r''
WNER 1 1L 1 I
Y, el sun TELE - VZ -7- SO. FT
WNER'S MAILING ADORE �� �"��
532-
ONTRACTOR'S NAM
I I....ns .an Pt rr- _ A— _ TELEPHONE
— i rts. a. I W""b MAILING A
CONSTRUCTION LENDER
LENDER'S MAILING ADORE
ARCHITECT OR ENGINEER
ARCHITECT OR ENGINEER'
BUILDING ADDRESS
R
MAILING AODRESS
11
LOT NO. I SUBDIVISION NAME
KN
PARCEL MA
USE OF STRUCTURE
SF ® Duplex ❑ Mobilehome[] Other
SPECIFY
PERMIT NO.
A; yd 50,1
BUILDING PERMIT'
OCC. BUILDING VALUATION
Fireplace
Total Valuation $
Filing Fee
Permit Fee
Plan Checking Fee
Energy Plan Checking Fee
Penalty
Permit fee
PLUMBING PERMIT
Each Trap
Solar or heat pump water heater
Water piping
Each qas water heater or vent
Gas piping system 1 - 5 outlets
Building sewer
Mobile Home S I G W
TYPE OF WORK
$
10.00
$
, 5-6
$
4 .7 '
$
15. OG
Main service100 AMP ORSLESS 10.00
CONTRACTORS LICENSE LAW
Filing Fee
10.00
2.00
6- A
20.00
and my license is in full force and effect.
License No.
5.00
Classification
❑ I,
5.00
as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is
5.00
not intended or offered
for sale. (Sec. 7044)
5.00
0.00 e
❑ I am exempt under Sec.15.00
Business and Professions Code
New ❑ Addition ® Remodel (X Utilities ❑ Installation❑ Other ❑
Permit Fee
Describe work:
��
$ .d�
4/a�i0 �lA1/.�Oil
Contractor
_
ELECTRICAL PERMIT Filing Fee 10.00
Main service100 AMP ORSLESS 10.00
CONTRACTORS LICENSE LAW
Main service EA. ADO'L too AMP 2.50
I declare under penalty of Perjury
p y p I y (check one):
NEW CONST. / DWELLING OCCUP.&� �:¢$q ft
OR A IONS. 1 ACC. BLDGS. r
❑ l am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIne$$
and Professions Code
NEW CONSTR B'LT I -OUTLET
NON-RESID RANCH CIRC ITS 2.50 ea
and my license is in full force and effect.
License No.
(POWER APPARATUS e�
SINGLE OUTLET CIR.
Classification
❑ I,
Ex. Occup(ouTLETS OR FIXTURES 20@5Te
eAL@30g
as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is
FIXED APPLNS. OR
Ex. Occup. DUTLETs IRESID.1 EA.� 2,00
not intended or offered
for sale. (Sec. 7044)
Temporary service 10.00
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
Mobile Home Facilities 15.00
❑ I am exempt under Sec.15.00
Business and Professions Code
Misc. Wiring
for this reason
Permit Fee
$ ob
2 r
WORKMEN'S COMPENSATION INSURANCE
Contractor
I declare under penalty of perjury (check one):
❑ The is
MECHANICAL PERMIT Filing
permit for $100.00 (valuation) or less.
Fee 10.00
I have placed on file with the County of Butte Building Department
Heating
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
Cooling
Ishall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Hood
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code,
3,00
Ventilation I 3DB 3
you must forthwith comply with such
provisions or this permit shall be deemed revoked.
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
Mobile Home Installation Fee $
Ordinances and State Laws relating
to building construction, and hereby authorize representatives
Energy Inspection Fee
Te -$
of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
TYPE
d'
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs,
TOTjALEEEE
and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
ETh's5perFmit,
CUA
PARK
q
PD
HD
Issue
X Date
is nereby issued under the applicable
provi-
Signoture of Applicant _ Owner [IContractor [IAgent ❑
sions of the Butte County Code and/or resolutions to do
work indicated
An OSHA permit is required for excavations over 5'0" deep and demolition or construct.
ion of structures over
above for which fees have been paid.
Receipt No. F IYtG 1�� 1 �,25
WNITC-D.P.W., TEL LOW A33C3�OR, P R-INSPECTOq, GOLDENROD -APPLICANT
By Date
PERMIT EXPIRES Date
ff PEI;
.�Si:.k�.Miai"r.:Frry^`�5..'''.s''.�r`,+,[^i.''tio-s.�75L•`�"'M;;r,Y'',+-. ..rw`'M�''",R�'t'r.'i'l;`"1��L.-�'4�1`�;'�4`3+�.`�"f�"
COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE-JOROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
( Permit No.
HGI
OWNER a� -P/Y1 2 hYl PISdn A. P..No.0601— liO 616
Proposed Building Use Sr -(Z- Cc&AGC[.(,i.(M Building Inspector ExW Date 1$ -96
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. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for None 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. 0 D (I - CLk-_)'Y1 School District fees paid ..............
14. Sanitation approval from Health Department 56AA-V
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.
c fv
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Y Telephone k33-671 (o and hold for pickup at ffice. Deliver w./inspector.
Other
Applicant ate
Copy of Haz-Mat form sent Health Dept. ' Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior. topmit i s nce: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, eslgner, owner, was advised of above required data by one_—mail counter by ..date
rector designer, owner, w advised of above required data byAe--Wone_mall ter by date
co
Plans checked by Date GhwqQPlans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
y s. n-,�wr. ,.�"?!' c^S7 w'aAkl;?� 7wlSl1E,%r �1'� rs lv++;; �yn«fiT.t irY�; y�swa Krr—,�rs�► r�Y,} ,.�art�'-r .z r�TFgkj 'm
X
BUTTE COUNTY SCHOOLS QEVELOPMENT FEE CERTIFICATION FORM
(One Form per Building)
A.P. Number Q''�j Building Department No.
School District ��`� j City P County � Jurisdiction
Property Owner Hot �� - r -1 -C-
-
Project Location/Address
' t 1 W
Subdivision Lot Number
Residential Development:
171 Sq. Footage
#.of Living MHI Addition (Group )
Units
Commercial/Industrial: `a
New
Buildi%rfg-Department Representative
Sq. Footage
Addition (Including Exterior
Roofed Areas)
R114�yl�o
Dat
(Floor Plans reviewed by School District Personnel)
Distrkct Id No.
School District certifies that
(Applicant Name) (Phone Number)
6 -3,; S
(Street Address)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. �''y`50.0 4
�d
by the ayment of $ 116-3 representing square feet.
School D4jff ict Representative Dat-
PAID
at
PAID BY CHECK NO.
BANK NO 9 O - �o %
PAID BY CASH
REMARKS:
f
white -applicant, yellow -building department, pink-school'district
SCHOOL.FEE (8/88)
J
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX & MISC.. ONLY)
nn Bldg. Permit #
OWNER "12 at ro,t A.P. #
GENERAL
Zoning requirements: (sideyards
Valuation.
Plans signed 4 designer.
4 Energy Design and Compliance.
Existing violations on property.
6. Items on data sheet.
and number of Permitted
PLOT PLAN
Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
�5.. Flood hazard.
-Special conditions ocreation map or
on -creation
& FAS road setback.
v
living nits).
compliance document.
FLOOR PLAN
r
1.omplete to scale plan with dimensions.
?Required windows for light and ventilation (Sec. 1205).,
OOP
Required windows for second exit (Sec. '1204).
Skylights (Chapter 34 & Sec. 5207).
uman impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1207).
5/89
GFCIs in baths, garage, and exterior outlets (Article 210-8).
ZLight fixtures, switches, receptacles, and exterior receptacles for maintenance
-
/of mechanical equipment. `
�! Locations of water heater, heating and cooling equipment, other electrical or
/// gas equipment, and plumbing fixtures.
Garage firewall, door size, and closer (Sec. 503(d)(3)).
1 - 3'0" exterior exit door (Sec. 3304(e)).
>1e2 Fireplace and wood stove location, alcoves, and clearance.
13.' Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
Foundation plan complete enough to construct building.
2 Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct building.
Roof construction details complete enough to construct building.
Fireplace construction .details and talcs if necessary.
MISCELLANEOUS ITEMS TO LOOK OUT FOR
�krick
Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
uardrail details (Sec. 1711 & 3306(j)).
or stone veneer (Chapter 30).
5/89
RESIDENTIAL PLAN CHECKING GUIDE
MIISSCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D)
�+. Exterior plaster - weep screeds (Sec. 4706).
Proper roof pitch for roof covering (Chapter 32).
Roof covering type - (fire hazard).
Rafter ties or bearing ridge beam.
Garage door or porch header sizes.
9. Adequate bracing.
. Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716).
K Untic access and ventilation (Sec. 3205).
derfloor access and ventilation (Sec. 2516).
ombustion air for fuel burning appliances.
Oise requirements on duplexes.
Adobe soils - special foundation design.
Retaining walls requiring design.
VI
Unusual shape, size, or split level house requiring lateral design.
JF Flashing at all exterior openings.
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i
MH 3971-79B,P,E,M
PERMIT NO.
PERMIT EXPIRES
Tom Rogers
OWNER
CONTR. owner
34-84-18
LOCATION (A.P. )
5328 Treasure Hill Dr., lot 221, KRIM , Oro.'
�k
fr
r
b
n 1
.. Temp. Power Pole ./ //
Called PG&E .%
Temp. Elec. Se
gv
/'
1 Called PG&E
Temp. Ga!
2Serv.
Calked PG&E
JOB
FINALED
(Dat
( i ature)
9
r
-r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
(NOTE: An entry must be made on this form each time you visit the job site.)
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback 5-16
Firewall
Soil Piping 2,5-
,5Forms
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows I I
3rd Floor
Stemwal l
-N4
Siding-
To out S
Slab
Roof SheathingWater
Piping
Piers
�L" `%
Roofing
Sewer (J Q�
Garage
Fdn. Vents
Fixtures —
Footings
Stemwa l I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for ph sically
handicaped
Conformance of ex.
structure
Appliances
Gas Piping &Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final—
Footings
Jr
Footina
ELECTRICAL
Masonry Walls
Throat
Rou h
Reinf. Steel
r 7 �G`�
Final a
Fixtures
Bond Beam
FIRE SPRI KLERS
Motors
Framing'l
Test
Water Htr. lO ��
Stucco
14
Final
Subpanels
Mesh
16=01UANICAL
Grd. Fault Prot %®�
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final Q" —
Final
MOBILEHOME UTILITIES ------------------ Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE —
` 3 P ' S fl
)&Z40-/
REMARKS OR CORRECTIONS
F0K- Fi 01in-1,
(NOTE: An entry must be made on this form each time you visit the job site.)
77'
RES IDENT.IAL,
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT
IL(location)
Y — /Ov
BUILDING PERMIT N0.�3Q'� 2 �_ A;P. N0. �/
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULAT ION :
Slab Edge.
Fdn. Walls
Floors
Walls o
Ceiling/deaf I9
Ducts It 07,
Circulating Pipes
APPROVED HEATER ✓
APPROVED WTR.HTR.
GLAZING: ,�1_
Single Glazed "p-,
Special (Insulated) or
CERT. & LABELED WDS.
& SLIDING DRS.
WEATHERSTRIPPED DRS. 4/
BACK DAMPERED FANS W-00
INTERMITTENT IGNITION DEV ICES
CERT. APPLIANCES
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
Signature of (please print)
Insulation Applicator
State Contractors
License No.
i
General Contractor/Owner Name 2%!!g ,
Signature of
(please print) General Contractor/Owner. _ !�� Date'
Xto Contractors����
icense No.
THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE 619ELL ING.
Rogers
Spec 221
Permit#
INSULATION CERTIFICATION
S�3
Z2
I�-�Zr
Number and Street City Cou ty
ROOF
Material
Subdivision Lot Number
DESCRIPTION OF INSTALLATION
Brand Name
Thickness (inches) Thermal Resistance IR Value)
EXTERIOR WALL HOUSE &.GARAGE
Material Fiberglass- Brand Name - 'Certainteed'
Thickness (inches) 3,L211 Thermal Resistance (R Value) 11
CEILING HOUSE & GARAGE
Batt or Blanket Type Fiberglass Brand Name Certainteed
Thickness (inches) 611 Thermal Resistance (R Value)
Loose Fill Type Brand Name
Minimum Thickness (inches) Number of bags
Area Covered (ft 2) Thermal Resistance (R Value)
FLOOR,ELEVATED
19
Weight per bag Ib
Material Fiberglass- Brand Name Certainteed
Thickness (inches) 3 ell Thermal Resistance (R Value) 11
FLOORrSLAB
Material Brand Name
Thickness (inches) _
Width (inches)
FOUNDATION WALL
Material
Thickness (inches) _
HEATING SYSTEM
Make
Model Description_
Rated Bonnet Capacitt
Gas Furnace
Thermal Resistance (R Value)
Brand Name
Thermal Resistance (R Value)
DECLARATION
1 hereby certify, that the above insulation was installed in the building at the above location ir. conformance with the
current regulations setting Energy Conservation Standards for new residential buildings (located in Title 7.4 of the
California Administrative Code).
General Contractor (builder) License Numbe
11
Signature and Title Date
Hawkins Insulation Co., Inc. 378407'
Sub- ontractor (Insulation Appticator) fsi ;License Number
Pres. A 11-26-79
Signature and Title , Date
CERTIFICATE REVIEWED BY I Date
BIN -029 (Building Inspection Office)
91
4d, l a/t/21/ /
0661 II �Il�/q/,4
Nilne
44%mo �9�
0
X
t
' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RMIT NO. /y
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4
APPLICATION AND PERMIT / - U
ASSESSOR PAR EL ER
ZO N,ING
BUILDING PERMIT ,' t 1,n
OWNER
TELEPHO E
SO. FT. OCC -1 BUILDING VALU ION
OWNER'S M ILING DDR SS
ie V L
WGA
CONTRA T 'S AME' / TELEPHONE
7 IQ M4 S
CONTRACT R'S I IN A 5
da
CONSTRU ON L N E
UNKN*6 w -TJ
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 7, dr9
BUILDING ADDRESS )
/ C
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
1 2.00
Repair drainage or vent piping
1 2.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF;K Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationC Other,
Describe work:__ / Sf {ie Ai / / anE W 397/r 79
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 1000 AMP ORV OR LESS5.00
Main service EA. ADD'L too AMP
2.50
NEW CONSDWELING
OR ADDNST ( ACCLBLDGS.CCUP.&)
20sgft
CONTRACTORS LICENSE LAW
I declare der penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div.3 of the Business
and Profession d a my license is in full for a and effect.
License No. ` Classification
❑ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR U TI -OUTLET
NON.R ESID, BRANCH CIRCUITS
2.50 ea
NEW CONSTR. /POWER APPARATUS &)
NON-RESID. %SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETSOR FIXTURES
50@
BAL@11012
FIXED APPLNS. OR
Ex. Occup.(oUTLETS (RESID.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
6.25
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declar nder 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 3.00
Heating
Cooling
Hood
2.00
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 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 id County in sequence of the granting of this permit. `
UThis
%� Date
Signature of Applicant — ner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
HD
ssuE
permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
CTO OF PUBLIC
By
PERMIT EXPIRES Nate 7,«
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
,over
Receipt No.yt 6 � l
�
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive Oroville, California 95965
'Telephone: 534-4541
APPLICATION AND PERMIT
-2a-,21 `2 9
I
BUILDING
Owner �� ���
SQ. FT. OCC. BUILDING VA ATION
16
MailingAddress ��� D '� cr
469 J 3
OAO
Telephone No.
^
Contractor
Mai I i ng Address '
Fireplace
Total Valuation Z
Telephone No.
Permit Fee /Sy ^
Building Address /
Plan Checking Fee&/or Penalty `
Permit Fee 409-
PLUMBING No.1 @ FEE
PERMIT FILING.FEE $3.00 �Q
Each Trap 1.50 P O
Repair drainage or vent piping 1.50
O
A. P. No. "4 N,
�..
Oft ng & Planning
Water piping 1.50 r'S li
Each gas water heater or vent 1.50
F e
t In Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
�' M 60' R/W
Improvement
Each additional outlet .30
Building sewer 5.00
Bldg. Plan ec'd
Parcel A oval
Plans pproval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00 Did
Main service 10000 AMP ORV OR SLESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L too AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST.OCCUP. S
OR ADDNS. 5. J 20sq ft • O
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business &Professions Code under the name
style of ,�J I
4glGvI hc<0,
NEW RES,.,CO BRANCH CIR T
NON -REBID ` BRANCH CIRCUITS/ 2.50ea
NEW CONSTR. POWER APPARATUS &
NON-RESID. SINGLE OUTLET CIR.
Ex. Occup{OUTLETS OR FIXTI1RES g �rj
FIXED APPLNS. OR
Ex. Occup.( OUTLETS (RESID.) EAY 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. fd�(o/ 5 Classification
Misc. Wiring 6.25
icer
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ -0
$ 45-101,
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for W men's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE 1$3.00 -1'
Heating
Cooling tt)Al ,s
Ventilation
Hood 2.00
Permit Fee $ ep
$ IT �el
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
Land Development Fee
$ s --a
TOTAL PERMIT FEE
$�. r
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes. �J
X Date
Signature of Permitee r Agent
Receipt No. A,52
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
theAtte County Code and/or resolutions to do work indicated
a e+for ich fees have been paid.
DIRE T R OF EOBLIC WORKS
Date
Building permit expires DaVL_`r� —
RESIDENTIAL PLAN CHECKING GUIDE
" (S.F.,'DUPLEX, & MISC. ONLY)
OWNER r 1o:Y� `1 Q @.O"S A.P.
A. GENERAL '
Zoning requirements.(sideyards and parking).
--aluation.
Signature by R.C.E. or Architect (if required).
B. PLOT PLAN
Complete parcel size and dimensions.
etback$, sideyards, easements, etc.
E,y�
,/Other buildings or structures '
Grading, fills, drainage.
Pe :X111 -7q_____
#
C FLOOR PLAN
Complete to scale plan with dimensions.
2 /X Required windows for light and ventilation (Sec. 1405).
*.."Required windows for second exit (Sec. 1404).
4. `Allowable glazing for energy requirements (20% max. per.State law).
Human impact glass (Sec. 5406).
6o0o"IRequired room sizes, ceiling heights (Sec. 1407).
7,o" G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
8oe' Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
90. Locations of water heater, heating & cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
100.< Garage firewall, door size, and closer (Sec. 503(d)(4)).
1 -'3'0" exterior exit door (Sec. 3303d).'
1?� Fireplace location:
13. Smoke detectors (Sec. 1413).
D. STRUCTURAL DETAILS
2/Foundation plan complete enough to construct building.
jFloor construction details complete enough to construct building.
3t;levations and wall construction details complete enough to construct building.
� construction details complete enough to construct building.
fireplace construction detailsand calcs if over one-story in height.
:Roof
Sufficient data and details to satisfy energy insulation requirements (State law).
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
CCX plywood on exposed locations and overhangs.
2` Stairway details (Sec. 3305).
3� Guardrail details (Sec. 1716).
4� Brick or stone veneer (Chapter 30).
3:Exterior plaster - weep screeds (Sec. 4706 & 4708).
Proper roof pitch for roof covering (Chapter 32).
K87 Rafter ties or bearing ridge beam.
_�//Garage door or porch header sizes..
O! Adequate bracing.
1t. Living area over garage - complete 1 -hour separation required including supporting
/ walls and posts, etc.
11. Two (2) exits on three-story dwellings'(Sec. 3302).