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069-300-039
69-30-39 w A-90B,P,E,M'S TAMBORSKI, Stephen 5353 Falco Ct, Orovil Contr: Better Builders (new 9f ) 1 I� 69-30-39 338-91B TAMBORSKI, Stephen 5353 Falco Ct, 0 Ville (new retainin wall/Better Builders) 0 �o m • s A MESIDENTIAL . 69-30-39 3075-90B,P,E,M 1 - ' I TAMBORSKI, Stephen 7 5353 Falco Ct, Oroville Contr: Better Builders (new sf ) 0 4 z -7-s0 y/,r,A� wa.!/ ©!� .4;, °art �L/�. $/9Q ,%� �'•��, p `'�®�( ��- 7o- OFFICE COPY Address =�By Date ' ELECTRIC Meter By Date = JOB FINALED (Date) Signature i/ v=0k O = Not OK = Not Applicable Not Ready MOBILE HOMES - ' = D2te 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" It. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 t 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 f 10. Cert. of Occupancy Date Card B-1 Date Card B-1 ' Date Card B-1 Date Card B-1 i 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- Bea ms- Rftrs.-Coo nectors 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-Pane Iboa rds-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 ✓=OK O=Not OK - = Not Applicable ' Not Reade RESIDENTIAL (Single & Duj$lex) = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 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. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUM (Permit) OK except #'s a Htr.; Vent -Access -Combustion Air -Baffle Wat ipe; Test & Anchor -Nail Protection 8 W.V.; Test 91nchor-Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B71 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECT AL (Permit) OK except #'s 41Z."Fixtqre & Transformer Clearance -Ins. Protection Tr Elec. Receptacles Spacing -Lights & Switches at Doors ize Boxes & No. of Conductors -Stapled ex Installed Close to Edge of Studs & C.J. (, quip. Ground made upfw/Mech. Fastners-Bond Gas & Water ppliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / ga. Cu ort�ven Circ. / / ga. Cu or AI. Insulated Neutral Yes ❑ No S rvice-Riser Conductors & Ground -Main Disconnect Equip. Clearances Panels-Motors-Mech. Equip. to hes Closet Light -Shower Light -Spa Light la-lmoke Detector Dat 7 ( Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34' A . Ducts Insulation & Support V nt Fan; Exhaust above insulation densate Drain & Overflow; Size & Grade Fu ance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38"Attic Access & Platform if Furnance in Attic Date o' Card B-1/5/'Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMJUG (Plans) OK except #'s Si , roper Material & Anchors Walls Studs -Nailing, Spacing & Bracing -Plates -Sound v earin . Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) 4 ire Stops; Furred Ceilings -Stairs -Chases -Tub eaders & Beam -Size & Bearing Date FRAMING (Continued) 5 Hangers -Post Caps -Anchors -Connectors 6 Ing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. Fire a Ties or Type A Flue -Fireplace Throat clearance ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49 rm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing 51. Property Line Firewall & Openings xt. Doors -One T -Check Garage -3rd Story, 2 Exits yi%Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers MZV ,g Veneer 4rAOIStupco Mesh -Drip Screed -Fd. Vents-Underflr. Access laz'ng Area -Glass Protection -Skylights -Plastic hear Walls; Nailing -Bolts ' nsulation-W -Ceilings Ali j 6 filtration -Walls -Windows Date Card B-1 Date Card B-1 Date - S/9 Card B-1 Date Card B-1 Date FINAL Plans OK except #'s 1. t. Steps -Door & Sidelight Protection -Landings LMoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - Garage; Above floor-Ducts-Mech. Protection 4. om Exiting & Bath Fixtures & Tub Access -Spa teC EI Trim & Subpanel; Breaker Sizes & Labels firs & Rails place or Stove; Clearances -Hearth kf Elec. Outlets at Wood Panel; Int. & Ext. ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter Alf -garage Fire Door; Swing -Landing -Closer ct in Garage -Damper 4. tr. Htr.; Vents -Clearance -Comb. Air-Connector-PA17. In Garage; Above Floor-Mech. Protection ., Elec. & Mech. Equip. Listed for Location C-716. : Receptacles in Garage; (G.F.I.)-Romex Protection 7. Insulation -Foam -Looked in Attic ❑ Yes �dGard Rails & Deck Construction -Post Caps 9. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive es 0 No; Walks 4TYes 11 No; Pla ters 11 Yes 0 No tucco; Brown -Finish 6--- co Qkr- 11�.�.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84.-WaIwVVrMIDisconnect. Electrical, Plumbinq 4�rE rior Elec. Trim; G.F.I. Receptacle -Underground Q dation Throughout House orrections from Previous Inspections Ga5_IPs6metvrs Tagged; Gas-Electri W.� Water-& Sewer Connected -C/O to Grade -HD Approval 441'7 -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 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 7-OCWER ✓ RERMIT 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 matter, or need additional explanation, please contact this office immediately. Date, Inspector Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 "CORRECTION NOTICE 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 matter, or need additional explanation, please contact this office immediately. 124W • 12 f"&, L— S A.1 t O -J7�S r -n Date' �� Inspector .. _ .r *r+r —' ---V- -�. • w .c< � 4 + ^n.w..+�y,;.- �._"+r'..c*�+.N.Ct..wr+�.::'�,,,.,..y�1 COUNTYdF,�BUTTE DEPARTMENT OF.PUBLI'C'WORKS,.,:,_. c 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541' 747 Elliott Road, Paradise —Phone: 872-6307 .> CORRECTION NOTICE /1-1441 WN R ��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 matter, or need additional explanation, please contact this office immediately. 1 o i 1 e7 Date '� / Inspector v r Date '� / Inspector v 0 w n e r &ztbiA Pel -mit No. EINERGY CERTIFICATION 3 S3 C-+ cD V A-tyO 4.-Q.1 LOCATION ROOF MATERIAL THICKNESS EXTERIOR WALL DESCRIPTION OF INSULATION BRAND NAME THLRNAL RES. MATERIAL FJBERGLASS BRAND N A N 1". �"' 71' ", • ! .': '; THICKNESS (_c -1 t4 '14- 'r i 11: R"I A 1, R V S FOUNDATION WALL t MATERIAL C E I LIN . .THICKNESS THERMAL RES. BATT OR BLANKET TYP4.ULAA BRAND NAME THICKNESS t4= 1111-'KNAL RES. Ir LOOSE PILLTYPE INSUL-SAFE IT] BRANT) NAME CF!": THICKNESS I Z-10 T H IAL R E IS . 11� co FLOOR,ELEVATED C�,mAR-04-el-4 F MATERIAL FIBERGLASS BRAND NAME CERTA]NTEED' THICKNESS THERMAL RES. FLOOR, SLAB MATERIAL BRAND NAME THICKNESS THERMAL RES. WIDTH FOUNDATION WALL MATERIAL BRAND NAME .THICKNESS THERMAL RES. I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALI-11'-` THE AT.O.VF BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERG SHASTA. INSULATION INC P5`0 -'_'S FIRM NAME/OUERC) ST !'ITE C 0 XT R _..' ........... , . I . . K-- — —Z 7 I hereby certify the' above insulation and 31 1 rc qui:—J on the Building Depart. approved plans and attachm(-.--!-!1 as required by the State of Californizi. E. i i r g Re n All equipment, devices and materia.1s .ire: of the qu�--. -,;.::.rd :11 are.specif,ically approved by the State of Calif. ---------------- FI RM N A M F 1! OW N E R (PLEASE PR I NT) ) C( .N I I V G F N I . R A I IN] 0 I\' WN I P TI i i s certificate must be un I I he v final .-insp.ec'tjon approval and J A N UA P) I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Dive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMITQO. ASSESSOR PARCEL NUMBER • 69-30-39 ZONING RT -1 BUILDING PERMIT OWNER - Stephen Tamborski (415 TELEPHONE 689-9215 SQ. FT. OCC. BUILDING VALUATION 2,623 R 104 920.00 OWNER'S MAILING ADDRESS 1886 Sa :wood Ct., Concord 9452.1 635 M 8,(890.00 CONTRACTOR'S NAME Be�ter Builders TELEPHONE 589-2574 7 l 290 C 2,900.00 CONTRACTOR'S MAILING ADDRESS 5263 Royal Oaks Dr., Oro 95965 Fireplace I A 1,000.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 117,710,00 Filing Fee $ 10.00 LENDERS MAILING ADDRESS Permit Fee $ 478.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 239.00 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING -ADDRESS Permit fee $ 742.00 PLUMBING PERMIT Filing Fee 10.00 5353 Falco Ct., Oreville Each Trap 141 2.00 Solar or heat pump water heater 20.00 20.00 L03010 I SUBDIVISION NAME Vi -11V RifiRt- PARCEL MAP (p b --rt� Water piping 5.00 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF [N Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 110-00e TYPE OF WORK New U Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 9 RPrlronm Permit Fee $ 68,00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP ORV OR LSLESS 10.000.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare u penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi e a y license is in full force and effect. License No. Classification FlI, 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUR.&81.4 OR ADONS. ( ACC. BLDGS. Z/Z Cosq fl NEW CONSTR. ULTI.OUT LET NO N.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS & (SINGLE OUTLET CIR. ) Ex. Occup( OR FIXTURES 20030c DAL@3o FIXED Ex. Occup. OUTLETSPIRESID IREA.) 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $113-95 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The Permit 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 1 10.00 Heating 16.00 6.00 Dual Pak Cooling 3 Ton 1 6.00 6.00 Hood 1 3,00 3,00 Ventilation 3 3.00 9.00 it Fee ee $ 34.00 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 to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, cost d expenses which may in any way accrue against sat Count ns - e<enceeof the granting of this permit. X 1 3�-C71 Date (J Signature of Applicant - Owner ❑ Contractor ❑ Agent ®_� An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 0.00 o c coNS TYPE A TOTAL F E $9-97.95 HAz CLIA PARK FLD PA H ISSUE This permit is Hereby iss ed under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. E OR OF LIC WORKS By Date L �7�Ll PERMIT EXPIRES D toT��E �" Receipt No. - rA `7 35� �/� 3S�% -/ Sya WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INS; CTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMgE47T OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTERIMAI - OP YKL1.E,-CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET ' Permit No. OWNER cJ r N.,�N rl� Nl 0 �PS� A. P .No. Proposed Building Use �Slz::: Building Inspector* f Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ ......... 2. Plot plans in duplicate/triplicate, 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 ......... Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation instructions...................................................... . 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... X12. Park fees paid ............................................ 13. Q dZ D F:,:L;5A4 School District fees paid .............. Sanitation approval from Health Department ` 15. City of Chico plumbing permit............ ...................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... <, 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23.- Owner -Builder Verification (Given to owner ❑, Mail to owner' ❑) ..... 7=4. Recorded copy of Agricultural Acknowledgment Statement ......... .O 25. Letter of signature authorization .................................... 26. 27. When you issue the permit�process s follows: Mail tom ner. Mail to contractor. _sTelephone an hold for pickup at office. Deliver w./inspector. Other Applicant_ —�� Date / Copy of Haz-Mat form sent Health Dept. Copy of plans sent Health Dept. Fi 1 / i Contpeior, designer, owner, was advised of above,required data re Dept. Air Pollution Date Other Date By ance: (Circle new;tem not checked above). e---nall—counter by..date• Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date r Plans checked by Date Plans approved byZJt/-_ �/.% Date _/Q S dF'I b' APf Id '•' ets of•plahs on r 1 In I e ca Inet o er Copy—DPW TO: Building Department FROM: Encroachment Permit Section t. RE: Driveway Clearance &Ael;r 3 3y owner location AP # Driveway permit %� /J ZL/ has been issued for the above property. n b /o -fig -9D sign re date PERMIT NO: 114-90 .Lake Oroville Area Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the.Butte County. Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: August 31, 1990 Applicant: STEPHEN F, & CLARA J. TAMBORSKI (BETTER BUILDERS) Applicant Address: Applicant Phone No.: 1886 Sagewood Ct., Concord, CA 94521 415-689-9215 Property Location (s): 5353 Falco Ct , , Oroville, CA 95966 589-2574 Kelly Ridge. Estates, Unit 4C, Lot 398 A. P. No. (s): 69-30-39 Fees due: ALL FEES PAID Application for service ap LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: RM Date: Lake Oroville Area Public Utility District release to close permit: Date: By: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESS07 PARCEL NUMBE ZON IN / BUILDING PERMIT OWNER S TE TELEPH NE SO. FT. OCC. BUILDING VALUATION i. OWNER'S MAILING ADD ESS 0 ✓ W CO TRACTOR'S NAME TELEPHONE� d CONTRACTOR'S MAIL NG ADDRESS ,52%03 DV,4L O DA2r ��a Fireplace D � CONSTRUCTION LENDER UNKNOWN Total Valuation Filing Fee 1 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ O Energy Plan Checking Fee $ od ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5 3 3 LCa G� Permit fee $ O PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 f% Solar or heat pump water heater 20.00rC) LOT O. SUBDIVISION NAME 7 PARCEL MAP Water piping 5.00 Q Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Q Mobile Home S G W 10.0Oe TYPE OF WORK Newk Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other F] Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 �Q (�Q r Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON.RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.., OR ADDNS. ACC. SLOGS. / /2QSgft r NEW CONSTR. ULTI.OUTLET 2.50 ea BRANCH CIRC ITS POWER APPARATUS .&) SINGLE OUTLET CIR, 20e50Q Ex. Occup OUTLETS OR FIXTURES 2AL030 LNS. OR Ex. Occup. OUTLETS FIXED P(RESID 1 1-A.) 2.00 Temporary service 10.00 Q, Q Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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 ,Q D(� Cooling ,Q(� 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 against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- on of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Q� OCC CONST TYPE TOTAL FEE $ HAZ cuA PARK scHL FLo PAR Po Ho ISSUE This permit is nereby issued under sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable resolutions have WORKS Date provi- to do been paid. Receipt No. � - � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT FROM WASH CLAYTON 982 F 2 Return IN "e 3WV 2942 KELLY RME EST CU U to bPW� p.et STA EML�. 1!, ACK OWr.E f�13M1; v r �e r+►vs, � R A N 0 1E 8eetioh 26-6,1 of the butts County Cod* requires th be recorded prior to issuancd of a building permit, is acknowledgement Tho property described heroin to adjaoent to land or inoluded within an area coned for a property ma $xJvultural purposes, and reeidente of this Y be subject to ihcohVenlancee or discomfort arising from the use of agricultural ohamicale, including, but not limited to herbicides, and fert;ilieerol and from the pursuit of agricultural operations ins to cultivation, plowin a ra in ludihes� Poetic idea, 6r P Y g► pruning, and harvesting which oacasionallbue not limited smoke, noies, and odor, Butto County has established agricultural c Priority use for produottvo agricultural FurpoRae, and residents w y Senerat4 duet, adjacent property should be Prepared to accept such ineanVe ones wtr;lch have as a d on neceeesry farm operations. pienc8 orhdisconi:orm from zones nnormal, All that real propArty situate in the County of Butte, 3rsta of California,as fol" daecribed -400L 399. GCi�it-yG�� kR//Y Ridgr. tw'��%r> e% �ubdivi�ciar Commonlyk � a iia ata'. 'L // )o :oto of ,unty of ACCEPTED FOR RECORDING AT 8:01 A.M. OCT 16 1990 BUTTE COUNTY RECORDER PRJI RTY QWNERS . On this the _day of me, the undermigned Notary Public, p�eys C'11^ nally' 19., before appeared, OFI~ICIAL SEAL, �� pe1sona1lY known to ma. l,. proved to me on the basis MARILFE B. B100M to be the of sat is£aotorY ovidena•, NOTARY PUDLIC CAlIFO:tPdiq AereOn (8 ) WhOoe batnp (e owVm CosrA OOUNT( the within instrument and aoknowlsd subs xibed !Ay comm. 9�cpir0 9EP 17, 1993 !� executed the same For the Bed that `�``"�'� xN WX"A" WHEMOF, X hereuntosetmyehand and ClIn toi'Kioiai o$all sent A.P. No. to L) !� NdcarY Publio BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A. P. Number �9"3Q �`� Building Department No. T School District `Q %2 0j5-�%i City n County [:I- Jurisdiction Property Owner jP H E; /v -T- Am �j 0 /Q S T Pro ect-Location/Address Subdivision Lot Number Residential Development: a Sq. Footage 2-6z'3 # of Living MHI Addition (Group R) Units y Commercial/Industrial: Sq. Footage New Addition (Including Exterior l r lf" Roofed Areas) r ell 3)AD .. Building f6epartment Representative Date t u -,-,(Floor Plans reviewed by School t District Personnel) 4 District Id No. School District certifies that Y(Applicant.Name) (Phone Number) �. (Street Address) (City) (State) (Zip Code) has complied with the requirements of Resolution No. F9_ 90 --06 by the payment of $ / 3 representing square feet. School District Representative Date PAID BY CHECK NO. _ BANK NO PAID BY CASH KS: 17 . white -applicant, yellow -building department, pink -school district SCHOOL.FEE ('8/88) W f b� /vtsi/2• 9E'D/2 � ��,t�/. R,VI. �,s� -Tz) SUBMITTAL SERIAL NO -.2172H-02 09-12-1989 PAGE 7 ` E PEPSI ROOF PAMP 211 .168/2000 5 i0 HOSE SPKR , f =8 FROM. 'TO FLOW D I AM EQU I V P -LOSS PRESSURE GPI"{ IN PI PE PSI ; FT SUMMARY LEN/FT PSI 3.D -0--'7:K. 1 -.3* 80 L 2 0 27. 94 F =T F 6.00 i0 PE --C). 97 RN 1 C120 T 8.25 PF 0.52 11*-!.' 1.33 .. 1. 3;80 L 78.00 0.0635 PT 24.02 (1 3 ) 0 27.94 t -=_r / T f- 12.00- F'E 0, c�(-) £eL1 C120 T- 90.00 PF 5.71 13 113 1u 280 L 2.25 0,06=:5 PT 29.7: (113) 0 27.94 F=T F 6.00 FE 0.97 RN I C120 T 8.25 PF 0.52 1y i ,. _;DO 272.78 2? '�= . 6:'�,� L 1 ' . �t�� � 5 �� r 0. �.,_Uc3 PT 22 '�1 .._.._ ( i•') 0 300.73 F=O F 0.00 PE 0.00 cm i C 1 0 T 12.50 PF 2.76 • PT 33.98 ( 1 2) 32 •_,? 1635 L 12.50 0.01:_ 9 I' -'T 24.48 ( _. 3 ) 0 72.52 F=O i- 0.00 PE 0.0t) CM2 C120 T 12. St:: PF 0.20 132 32DO -39.23 1.380 L 2.25 0.0878 PT 24.68 ( =2) 0 33.28 F==T F 6.00 PE: -0.97 RN1 C120 T 8.25 PF 0.72 112 1.32 1.. 80 L 78.00 0.0878 PT 2043 (132 ) 0 33.28 F =T / T F 12.00 PE 0. 0C) BL 1 C120 T 90. 00 i0 PF 740 12 112 1. 380 L 2.25 0.0878 PT 32.33 (1. '12 ) 0 =3.28 F=T F 6.00 PE 0.97 RN1 0120 T 8.25 PF 0.72 1 12D0 300.73 2 .635 L 12.50 6.26S2 PT 34.02 ( 12) .0 .334.01. F=O F=. 0.00 PE 0.00 CM 1 C120 'i 12.50 PF 3.35 ----------------- PT 37.37 ( 1 1 ) ''1 =2 2.635 L 12.50 0.0051 PT 24.71 ( 12) 0 39.2: F=0 F 0.00 PE 0.00 CM2 C 1 20 T 12.50 PF 0.06 131 = 1 1. '8tj L 2.25 0. 1 19Ci PT 24.77 ( 1 ) 0 39.23 F=T F 6.0c) PE -0.97 RN1 0120 T 8.25 PF 0.98 111 i31 1.280 L. 78.00 0. 1 1900 PT 24.78 (1 = 1 ) 0 39.23 F=T/T F i 2. Ou PE 0.00 BL 1 C120 T 90.00 PF 10.71 1 i 1 1 1 i. 380 L 2.25 0.1190 PT 05.49 (1 1 1) 0 39.2=' F=T F 6.00 PE 0.97 RN 1 C120 T 8.25 PF 0.98' ' 5/89 r RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) /Bldg . Permit # J 0 175 0 OWNER Gt lC A.P. # 4�; 51— .78 —� GENERAL � Y�g Zonin requirements: (sideyards 2. Valuation. Tans signed by designer. Energy Design and Compliance. 5y-- xisti�g `;iolatinnc on—prn_perty. %�. Items on data sheet. and number of permitted living units). PLOT PLAN rplete parcel size and dimensions. Setbacks, sideyards, easements, etc. ng res. age. Spood hazard. ecial conditions on. creation map or compliance ck. FLOOR PLAN" Cplete to scale..plan with dimensions. • Required windows for light and ventilation (Sec. !---Me-quired windows for second exit (Sec. 1204). )• . �i�man impact glass (Sec. 5406). document. 1205). .Required room sizes, ceiling heights (Sec. 1207). ' r7/,GF�Is in baths, garage, and exterior outlets (Article 210-8). 8f Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. 9. Locations of watcater, heating and cooling equipment, other electrical or _/ equipment, and plumbiri xtures. lj0/G�age firewall, door size, and closer (Sec. 503(d)(3)). 1 < 3'0" exterior exit door (Sec. 3304(e)).' k2: replace and wood stove location, alcoves, and clearance. 1 Smoke detectors (Sec.' 1210). ' STRUCTURAL DETAILS oundation plan complete enough to construct building. or construction details complete enough to construct building. _Elevations and wall construction details complete enough to construct building. 4! Roof construction details complete enough to construct building. . s -- �'�xepl�c-e--Ee�s t r-u�an-d.�t-ail•s-arc-al E s s a r y. MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). ardrail details (Sec. 1711 & 3306(j)). 3/ Brick or stone veneer (Chapter 30). RESIDENTIAL PLAN CHECKING GUIDE MISCEI,,LANEOUS ITEMS TO LOOK OUT FOR (CONY D) Exterior plaster - weep screeds (Sec. 4706). 5.roper roof pitch for roof covering (Chapter 32). �jl'Ro f covering type - (fire hazard). e m. arage door or porch header sizes. Ad quate bracing. RF • ling area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. 1�2: Attic access and ventilation (Sec. 3205). QVl"ZJJ 31111 VGl •JG1". c.J1v). Combustion air for fuel burning appliances. 1-5 1 - 10 Retaining walls requiring design. at all exterior openings. OKLMM- 010 1 �l 6 ) . S � f� y - J 01 Are coat�r 10/11/90 15:15 a 916 589 2942 KELLY0R`� Return,rt,6 DPW AGRICULTUMT. •$TATEMkNT OFACKNOWLEDGEMENT- ",tr'rVol r - v,zsnj PM. RESIDI*; Al,E E OPMLNx Settibn 26-8.1 of tits Butto County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizerel and from the pursuit of agricultural operations including, but n to cultivation, plowing, spraying, pruning, and harvesting which occasional) smoke, noise, and odor. Butts County has established agricultural zones whichghave ot te limited orate duet, priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal necessary farm operations. , All that real property situate io the County of Butte ae follows; , State of California, described •�o 3 91;u n if`//y R�dfl� f s>.� �c u bdivisioq, �y�ote G'-diyi�iWh/y %holc�H �5 ✓'�3� ��r/tea e.f•� Drr�v�//e.. C�a/i�dri�ia� Date: � �//� �D 90—,044453 R e c Fee 5.00 f Check 5.001 Recorded ; Official Records County of ; Butte ; Candace J. Grubbs Recorder ; 8:01am 16 -Oct -90 CD '1 JPR11'TY OWNERS: State of 0"l-rojejif p) ) On this theda SS. me, the undersigned Notar pub of ' 19, before County of C Y , personally appeared. . '7- °.. OFFICIAL 4,/ Personally known to me. Lw Proved to a SEAL, me on the beefs B. BLOOM m •o NOTARY PUBLIC - CALIFORNIA person( to be the pns) whose s) of satisfactory evidence, demo s � )subs " CONTRA CasrA COUNTY 'My comm. expires SEP 17, 1993 the within instrument executed the for and acknowledged that ribed to _ same IN WITNESS WHEREOF, I the ses therein hereuntooset my hand andofficialseal, Present A.P. No. Notary Public END OF DOCUMENT AESIDENTiaL '9 69-30-39 TAMBORSKI, Stephen 338-91B 5353 Falco Ct, Oroville (new retaining g wall/Better Builders) 20��-qd JOB FINALE Signature d=dk O=Not OK = Not Ready MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. 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 .: ( 4JAX tk MISCELLANEOUS Date DECKSCOVERS CARPORTS, GARAGES, Plans OK except #'s p-loning Requirements -Sacks -Easements 2. Footings; Soils-Size)oepth-Spa g-Connecto - teel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -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 20 9Q Card B-1 Date Card B-1 Date ICard 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-Pane Iboa rds-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 r V OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties -Pu rl in -roof Brac-Truss-Shthng.-Ring. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52 Ext Doors -One T -Check Garage -3rd Story 2 Exits 8. Piers -Fireplace Ftg.-Steel 9. 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. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'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/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ 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-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 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 #'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 & Bearinq 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter 6t�iggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr.%Access 57. Glazing Area -Glass Protection -Skylights -Plague 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 #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & 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-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-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: (NOTE: An entry must be made, each time you visit job site) + COUNTY OF, BUTTE - DEPARTMENT OF PUBLIC WORKS ` 7 County Center Drive ;'Orovil , California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N0. ASSESSOR PARCEL NUMBER _ ZONING ' BUILDING PERMIT ow ER � tephen Tamborski TELENE PHO SQ. FT. OCC. BUILDING VALUATION RIO 3,6nn OW ER• MAILING ADDRESS X88 Sagewood Ct., Concord, CA 94521 CO TRACTOR'S NAME etter Builders P �5�4 CD5263CRoyalAOaksADr E,SOroville, CA 95965 Fireplace CO STRUCTION LENDER Done UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 44-90 ARCHITECT OR ENGINEER Frank Tyukos LICENSE NO. Plan Checking Fee $ 22-29 Energy Plan Checking Fee -$ ARCHITECT'OR ENGINEER'S MAILING ADDRESS ' Penalty $ BUILDING ADDRESS 5353 Falco Ct., Oroville i ermt fee Pf - $76-79 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other retaining wall SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New 0a Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLOGS. ) , 2/Z Qsq ft NEW CONSTR. M ULTI.OUTLET NON.RESIO BRANCH CIRCUITS) 2,50 ea POWER APPARATUS & (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20050Q e AL® 30 FIXED APLNS. Ex. OCCUp. OUTLETS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. F2. 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 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte 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 agains said C unty i consequence of the granting of this permit. — X - Date "_cam's_ Signature f Applic nt — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 76.75 HAZ CUA PARK SCHL FLD PAR PD HD IW This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees R OF PUBLIC B Dra;:'O PERMIT EXPIRE Date •2 the applicable provi- resolutions to do have been paid. WORKS .ate Lfl/ Receipt No. 83439 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT i COUNTY OF BUTTE -E. PkiTMENT F PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CEN'rER"'DRIVE°L JGFIOVI;§LE, CALIFORNIA 95965,- TELEPHONE: 918/538-7541 •_,,,` PERMIT APPLICATION DATA SHEET I Permit No. OWNER—1—a i 1 '3C� Proposed Building Use F Q Building Inspector Date At time of p It application, I was advised the following data must be submitted prior to permit processing and/or issuance: I DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. _ 14. Sanitation approval from Health Department _ 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... -18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) _ 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .... . -24. Recorded copy of Agricultural Acknowledgment Statement ......... -25. Letter of signature authorization .................................... 26. 27. W you issue the c as follows: Mai��6office. er. Mail to contractor. Telephone and hold for pickup at Deliver w./inspector. Other It Applicant Date Copy of Haz-Mat form sent Health Dept.—Fire-Dept. fir Pollution Date Copy of plans sent Health Dept. Fire Dept`. Other Date By. The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone—mall--, WNrVer by date Plans checked by •-r Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date 2 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 A'PLICATION AND PERMIT AS S R PA ENUMB Wy O�Rn 1 K if- 0r 1� ZONINyy�� / T [ TELEPHONE BUILDING PERMIT SO. FT, qcC. BUILDING VALUATION O.yINES MAI LI G ADOR ESS II �oj 0e9d Id it C © 9Ly5 a CO RA TOR'S N TEL PHONE u iaL CO T AC 'S ORAILING DDR 55 j� r 5 (/Olv-f( Fireplace CO RUCTION LENDER UNKNOWN Total Valuation $ LENOER'SMAI LING ADDRESS ARf�i.L �E C� QR ENGINEER S LICENSE No. 10[-lR`ENGIN Filing Fee $ 1000 Permit Fee Plan Checking Fee $ d ARCCHI. ER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS _ 3 /-aLo ct v' C Permit fee $ " 3 - PLUMBING PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME - PARCEL MAP Water piping 500 Each qas water heater or vent 5.00 USE OF STRUCTURE l SF ❑ Duplex[]Mobilehome❑ Other A l q l i11 YJ Q l SPECIEri Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00e TYPE OF WORK New [P Addition ❑ Remodel ❑ Uti Iities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PER Filing Fee 10.00 Main service 600V OR 0 AMP ORLESS10.00 CONTRACTORS LICENSE LAW I declar under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El 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 EA. ADD -L 100 AMP 2,50 NEW CONST, DWELLING OCCUP.&) OR ADONS. ACC. SLOGS. I , /20sgft NEW CONSTR. ULTI-OUTLET NON•RESID BRANCH CIRCUITS 2.50 ea POWER APPARATUS e, SINGLE- OUTLET cIR. ) EX. OccU OUTLETS OR FIXTURES p 20@Sot eALO 30t FIXED APPLNS. OR Ex. Occup. OUTLETS IRESI D,) EA.) 2,00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 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 FiIingFee 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 t sa' aunty in o equence of the granting of this permit. X — Date Signature f App . ant — Owner ❑ Contractor �j Agent ❑ An OSHi1 permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ CUA PARK SCHL FLD PAR PD Ho IssuE Th;s permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date - the appiicable provi- resolutions to do have been paid. 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