HomeMy WebLinkAbout069-350-010J
69-35-10
ELLIS WIDENER OCCR - 35(-,
245 Lodgeview Drive 0 oville (7-
Cont'r- Todd Hemstal�, broville
er-00
d - 00
ermit#1 921;---83B P E,,M(add-it*fo rem6
SF)
-FB
0
77
12
3r
.,
069-350-010.
MISCELLANEOUS, Electric Pane
l
ELE,SER:CHANG
245.L0D.GEVIEW DR -
WIDENER ELLIS
9
R & RO,4
11 7,
BUTTE COUNTY AREA
DEPARTMENT OF DEVELOPMENT SERVICES 2
INSPECTION CARD MUST BE ON JOB SITE
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds
Permit No: B07-1237 . Issued: 06/06/2007
Address: 245 LODGEVIEW DR Area: OROVILLE
Owner: WIDENER ELLIS R & R(APN: 069-350-010
Applicant: SHIELDS ELECTRIC Map Page:
Permit Type: Electric Panel
Description: ELE SER CHANGE
Flood Zone: None SRA Area: Yes
Front Setback: Side Setback:
Rear Setback: Other Setback:
Minimum Setback From Centerline of Street:
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
Setbacks
132
Foundations / Footings
111
Pier/Column Footings
122
Grade Beams
114
Eufer Ground
216
Forms/Steel/Holdowns
122
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
Gas Test House
404
Gas Test Yard
404
Masonry Grout
120
Masonry Bond Beam
119
Underfloor Framing
149
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under Slab Plumbing
411
Gas Piping
403
Do Not Install Floor Sheathing or Slab Until Above Signed
Holdowns/Straps
122
Shearwall/B.W.P.-Interior
135
Shearwall/B.W.P.-Exterior
135
Roof Nail/Drag Trusses
129
Do Not Install Siding/Stucco or Roofing Until Above Signed
Rough Framing
128
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
Gas Piping
403
Shower Pan/Tub Test
408
Fire Sprinkler Test
702
Fire Sprinkler Final
702
Building Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Pool Final
802
Mobile Home Final
802
Inspection Type I
IVR I INSP I DATE
Do Not Insulate Until Above Signed
Wall Insulation
117
Ceiling Insulation
118
Do Not Cover Until Above Signed
_T -Bar Ceiling / RC
145
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Swimming Pools
Setbacks
132
Pool Plumbing Test
504
Gas Test
404
Pre-Gunute
506
Pool ElecBonding/Light Nitch
502
Pool Fencing/Alarms/Barriers
503
4
Pre -Plaster
507 i
Manufactured Homes
Setback-_ _1 1.32
Blockii
Tiedo� OFFICE COPY
Site Ut Address
Gas Te — M
Manon
Contin GAS
Skirtin Meter By Date k
ELECTRIC
Meter .-/
By_ Date
Manuf
Date o�-__
Model Name/Number:
Serial Numbers:
Length x Width:
Insignia:
FineISr�
Public Works Fina
538-7681
Fire Department/CDF
538-6837 ext 169
Env. Health Final
538-7281
Sewer District Final
"PROJECT FINAL
801 ypC'_. (o-13-0-
-rroJect r mal is a cernucate of Occupancy for (Residential Only)
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR
RENEWAL 30 DAYS PRIOR TO EXPIRATION
Inspector Copy
7
2
` COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7YCounty Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
12,77
OWNER PERMIT NO.:
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspecto ated below.
Date Inspectory
REV 4/05 Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT '
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 245 LODGEVIEW DR
Owner:
Permit NO: B07-1237
APN: 069-350-010
WIDENER ELLIS R & RO,
Issued Date: 06/06/2007 By AAM
Permit type: MISCELLANEOUS
245 LODGEVIEW DRIVE
Subtype: Electric Panel
OROVILLE, CA 95966
Expiration Date: 06/05/2008
Description: ELE SER CHANGE
(530) 589-0885
Occupancy: Zoning: AR1
Contractor
Applicant:
Square Footage:
SHIELDS ELECTRIC
SHIELDS ELECTRIC
Building Garage Remdl/Addn
1221 14TH STREET
1221 14TH STREET
OROVILLE, CA 95965
OROVILLE, CA 95965
(530)990-1215
(530)990-1215
Other Porch/Patio Total
FEE INFORMATION
DBE Single Phase Service-Resid $58.00
' Total Charged: $58.00 Fees Paid: $58.00
Balance Due: $0.00 Receipt No: B3400
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
SHIELDS ELECTRIC 670212 / C10 / 07/30/2009
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
X 06/06/2007
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Contractor's Signature Date
I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
HAVE
the work himself or herself or through his or her own employees, provided that such improvements
❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
Carrier. Policy Number: Exp. Date:
(This section need not a completed if the permit is for one undred dollars ($100) or less.l
IAM EXEMPT under Section B. 8 P.C. for this reason:
❑
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 Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
X 06/06/2007
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date
provisions.
X 06/06/2007
I hereby certify that I have read this application and slate that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
property owner or am authorized to act on the property owner's behalf.
06/06/2007
CONSTRUCTION LENDING AGENCY
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner . Contractor OR ElAgent for Owner ❑Agent for Contractor
INSPECTOR COPY
Lenders Address City State zip
c�
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 245 LODGEVIEW DR
Owner:
Permit NO: B07-1237
APN: 069-350-010
WIDENER ELLIS R & RO,
Issued Date: 06/06/2007 By AAM
Permit type: MISCELLANEOUS
245 LODGEVIEW DRIVE
Subtype: Electric Panel
OROVILLE, CA 95966
Expiration Date: 06/05/2008
Description: ELE SER CHANGE
(530) 589-0885
Occupancy: Zoning: AR1
Contractor
Applicant:
Square Footage:
SHIELDS ELECTRIC
SHIELDS ELECTRIC
Building Garage Remdl/Addn
122114TH STREET
122114TH STREET
OROVILLE, CA 95965
OROVILLE, CA 95965
(530) 990-1215
(530) 990-1215
Other Porch/Patio Total
FEE INFORMATION
DBE Single Phase Service-Resid $58.00
Total Charged: $58.00 Fees Paid: $58.00
Balance Due: $0.00 Receipt No: B3400
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
SHIELDS ELECTRIC 670212 / C10 / 07/30/2009
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that '
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that 1 am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the
X
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil of not than five hundred dollars
06/06/2007
penalty more [$500];
Please check one of the following:
Contractors Signature Date
❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
the work himself or herself or through his or her own employees, provided that such improvements
are notintended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑❑
Section 3700
I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
The Contractors License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.).
Carrier: Policy Number. Exp. Dale:
(This section nee not a competed if the permit is or one hundreddollars ($100) or less.)
❑ I AM EXEMPT under Section B. & P.C. for this reason: -
[, I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
L�S1 ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
X - 06/06/2007
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date
provisions.
X --WI 06/06/2007
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
injury, including death, and property damage caused by, arising out of, or in any way connected with
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
property owner or am authorize to on the prop? owners behalf.
CONSTRUCTION LENDING AGENCY
06/06/2007
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner ❑ Contractor OR. E]Agent for Owner Agent for Contractor
FILE COPY
Lender's Address City State zip
t
r
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
0 0 BUILDING PERMIT APPLICATION
0 0 OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
o — =aa 0 A FEE WILL BE REQUIRED AT TIME OF APPLICATION
c y Website: www.buttecounty.net/dds
®UN's **PLEASE PRINT CLEARLY**
APPLICANT INFORMATION
OWNER INFORMATION
„ 1
Last NameAM
/
City
First ame
Mailing Addr✓essss
11"D c—oav
City U6
State( „
Stat
Zip9
//
Phone �
� U f�
Fax
E-mail
APPLICANT INFORMATION
CONTRACTOR
Name
City
Addtess
Address 5
City
V
State( „
Zi
Phone
d —a/s—
Fax S33 _07
E-mail
q
Lic. #
/_ 7
Class 6 _
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Addtess
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
(-.. C-4
04 J' I
PERMIT
NO.
BIN # .
PROJECT LOCATION
APIO(Q 0_n D
Property Address CJI r
City
l
WORKER'S COMPENSATION
Policy Number
N
Carrier
7f hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
U / _f 00 d%ly1
,zoo M
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
Flood Zone
SRA
ves
No
Occ.
Type Const.
" PERMIT NO. 1921-83B,P,E M
PERMIT EXPIRES
OWNER ELLIS WIDENER
CONTR. Todd Hemstalk
ASSESSOR PARCEL 69-35-10
LOCATION 245 Lodgev; ew Drives o__ov; 1L _
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
w.
11 Temp. Gas Service
9
r
Called PG&E
r
JOB FINALED (Date) ' �� —0
I
I � `
t Signature ii�j,
f
J = OK
0 = Not OK
- = Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
_
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6. Carports: Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except q's
Card -BI
Date
_
Date Card -BI Date _
POOLS (Plans) OK except it's
1. Zoning Requirements -Setbacks -Easements
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining _-
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
B. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy'
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
= OK
= Not OK
= Not Applicable RESIDENTIALS
Not Ready ingle and Duplex)
Date UNDERFLOOR Plans OK except N's
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
_ Line Firewall & Openings
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
xt. Doors -One 3' -Check Garage -3rd story, 2 exits
3. Ftg., ge; Soils -Steel- / /" Ftg. Depthairs•
Width -Headroom -Rise -Run -Landing -Fire Protection
g., Porches & Decks; Soils -Steel- / Ftg. Depth
ywood on Roof Overhang -Attic Vents -Rafter Outriggers
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
- i ng -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
5A,,ISTucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
I Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
A0c/
10. Water Pipe; Test -Anchors -Regulator -Service Test
Z ,6
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
C I
ate -� Card -BI Date
C
Date Card -BI Date
Card -BI
ate Card -BI Date
C -BI Q,--- Date S Card -BI Date
Date
FINALJPians) OK except N's
5(ifExt_,Rteps-Door & Sidelight Protection -Landings
Card -BI Date Card -BI Date
Date PLUM G (Permit) OK except N's
5.. moke Detector
_ . Water Ht.; Vent -Access -Combustion Air
58. Furnace; s -Clearance -Comb. Air -Connector -
j t' ge; Above Floor-Ducts-Mech. Protection
1 ater 'pe; Test & Anchors -Nail Protection
1 .W.V.: Test-Fttngs & Anchors -Nail Protection
59. BeqLqpwExiting
17rSgewer Parr Test, First Floor -Tub Access
6 .F.I. &_DAlb, Fixtures & Tub Access
18_-Tes4-�hower, 2nd Floor -Tub Access
61 c. Trim & Subpanel; Breaker Sizes -L
6 irs & Rails
19.fsas_l2ipe..� Anchors
63. Fire a or Stove; Clearances -Hearth
6 ec. O ets at Wood Panel; Int. & Ext.
DatejZ>% Card -BI Date
6 it. Fixt. & A -Air - ooki earance
Card -BI Date Card -BI Date
6d--- Outlets & Receptacles at Kit. Counter
Date ELEC CAL Permit OK except q's
67 ng -Landing -Closer
6ar*re-Buet-1 -
_ F_x-t— & Transformer Clearance -Ins. Protection
69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- .
In Garage; Above Floor-Mech. Protection
�-`
24. Elec. Receptacles Spacing -Lights & Switches at Doors
7&, -PZ., Elec. &Mech. Equip. Listed for Location
71 �c &srsyw..
-9eeeptactes-tn �,I_; —Romex_Rrotec.
ul-gize Boxes & No. of Conductors -Stapled
--- omex Installed Close to Edge of Studs & C.J.
- ui round made up w/Mech. Fasteners -Bond Gas &Water
7nation- Foam- Looked in Attic ❑N'€s
7 uard Rails &Deck Construction -Post Caps
ppl' ce Circuits in Kitchen &Conductor Size
2 feed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74. Fdn. Vents &Cr Dor-Drainage & Wood -Earth Clearance
Lookeci.0 er Floor El Yes
75. Following instld.: Drive E] ❑Yes ( lo; Walks E! Yes XNo;
Planters ❑Yes XLo
?, .lige Circ. / ga r AI -
v I
—
— Service -Riser Conductors & Ground -Main Disconnect
76
_— quip. Clearances; Panels-Motors-Mech. Equip.
77, A.0 Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
- _ 3 _ eS Closet Light -Shower Light _
-� — - --- -- - ----- ---
r I �i� at Card -BI _ Date
!�D - -
and B-1 Date Card -BI Date
Date MECHA,WC<L (Permit) OK except N's
— -- _C. Ducts: Insulation &Support
7 ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79. P
80°--E+eri°ri:fe . Trim: G.F.I. Receptacle -Underground
81 ghout House
824 -G11 -5 s Protection
_
8 orre 'ons from Previous Inspections
rs Tagged; Gas -Electric
8 er & Sewer Connected -C/O to - D
32. Vent_ Fan_E_xhaust above Insulation
- - -
_ 33. Condensate Drain _& Overilow; Size & Grade
gy Compliance Certificate -Other Certificates
—_-34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. -Attic Access & Platform if Furnace in Attic
W (T14-
_BI Datflr%/J' Card -BI Date
Card -BI Date Card -BI Date
C
Date � Card -Bl Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date FRAMI Plans) OK except q's
Comments at Final:
_ ills; Proper Material & Anchors _
all suds -Nailing, Spacing & Bracing-Piates-Sound_
earing Walls over Girders & Floor Nailing
—BrdfiStop in Walls (rat proof) —
40_P""_Uop�Furred Ceilings -Stairs -Chases -Tub
_
madder & Beam -Size & Bearing
4 ngers-Post Caps -Anchors -Connectors
43�oist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
ce Ties or Type A F ue-Fireplace Throat
Lir Access: Size & Rom_ex Protection -Draft Stop -Ins. Baffles _
4 rm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47. rage Fire Protection Framing
_
(NOTE: Anentrymust be made each time youvisit jobsite)
RES IDENT IAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN//CO /ORMAN�CE WITH CURRENT ENER Y CONSERVATION REGULATIONS
AT .2 �-S Lo e�� P �lr P �r_ �roci. e
(location)
BUILDING PERMIT NO. P 1 A -.P. N0. 979 .3S' -/O
THE FOLLOWING HAVE BEEN INSTALLED AS PER -APPROVED -PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge
Fdn. Walls
Floors
Walls
Ceiling/Roo
Ducts
Circulating Pipes
APPROVED HEATER
APPROVED WTR.HTR.
GLAZING: -
Single Glazed _/x,4
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS. t�
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS_A
Ih7ERMITTENT IGNITION DEVICES
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�� P W
Signature of � ,(please print)
Insulation Applicator ���s Lam/.
State Contractors
License No.
General Contractor/Owner Name
(please print)
Signature of �/�
General Contractor/Owner,(/ �, Date
State Contractors
License No.
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
e
COUNTY OF .BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICAT,IO,N AND -PERMIT
PERMIT NO.
—O
ASSESS R rARCEL NUMBER
6 .–D
ZO IN
BUILDING PERMIT
owN f r' �`
lMA1L1
WHO HONE
SQ. FT. OCC. BUILDING VALUAT N
�QJ�-
S
OWNER'S G ADD ESS
r-
`�-
! 1
C R TOR 5 NAME f ELE HONE
14
ONTRAC 'S MAILING ADDRESS
Fireplace \;
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $�
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ °�1:2 10
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ r
cy
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
a
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 &Qa
Solar Water Heater
20.00
Water piping
5.00 ra
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00 ---�
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF [J�Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00 c
Mobile Home S G W
10.00 e
TYPE OF WORK
New Fl Add ition�emodeI Utilities nstallation❑ Other ❑
Describe work) 1 — %c�n .
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP 00V OR OR
10.00 O.0-6
SMain
service EA. ADD'L 100 AMP
2.50
OR ADDNST ACCLBI GS
21/20sgft
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)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR UI Tl-ouTLET 2,50 ea
NON.R ESI D, BRANCH CIRC ITS
NEW CONSTR. (POWER APPARATUS &'/
NON-RES,D, (SINGLE OUTLET CIR.
Ex. Occu 20e50a
p.OUTL OR FIXTURES BALD 300
FIXED A
Ex. OCCUp. OUTLETS P(RESID )REAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self-Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
0,16
Hood
3.00 3:
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.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costes, andexpenseswhich may in any way accrue
X ain said Count in EC7qu�'l�✓��►he granting of this p rmit.
Date 3
{�
Signature of Applicant — Ownerg Contractor ❑ Agerft ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE
OCCUP. GROUP
TYPE 11 CONST
/�
PARcrL
✓
PD
No
55DE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR PUBLIC
By
PE IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
r /
Receipt No. �r
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
(<
_� ��d
" � �.:
--777
p4slov
Z4210" 3, 25 is
tX',A A Ii OR TUr; CRAG E NE,M-FIRI FOR
;n if 60, �",i 11W
4PAN to WMA, 4'
,-stir
4, ot I H G04 CONFICUOATMI�
f
ij
y
1
a.
--777
p4slov
Z4210" 3, 25 is
tX',A A Ii OR TUr; CRAG E NE,M-FIRI FOR
ENV45ER3�,
OIIV
4PAN to WMA, 4'
,-stir
4, ot I H G04 CONFICUOATMI�
f
ION ppL it 0
OFF PANZLF rin', J
T4k��1�1tQAR :I 4001 ref 0
5, rsr'cerumc Riblu 7 fo.
A 116 YO' 480
'to :4 2 ; v
I
AXTAL:3TRESS ONLY
se : , ,
D �DUR'A'I'lak , IN'CACA 1 '25,
--777
p4slov
Z4210" 3, 25 is