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HomeMy WebLinkAbout069-370-0216 Nylund { 158 Riverview 'Dr'. ,I•t 3unsetRRYSTRDM; Carp 1510B� Terrace Oroville N_ al 1318P contr- Christopher Seegert, Oroville 181 Permit #2245-81B,P,E,M(addition/SF) PLot #1, Riverview Dr. near Oakcres , ovi — �~ CONTR: H. Jay Bard P.O. Box 1125 'Orov', = 69-37-21' y Y Y � , r ,ontr.: Holiday • Pools,- -Chico s Permit#1257-83B,P,E(new swimming pool) 69-37-21 F r1 r Fermit#1900-84B(reroof/SF) -069-370-021`Y, `4'498-2646' Y A �,� ,." '' c tib.--• _. _,'"� _^ -- ,..-,p.nC.y`� 158 RIVERVIEW-DR...OROVILLE ALLADIN ROOFING,,..,,.-." r " COMP ROOFlf1AG` 4 � � �� _._. i N - �.. .e - .. •.- •••StYb'ylWr, '.C. �.f'li :ii"�%s`T`rk'`'..li .0.69 316 621+' �a#98=2646 a .N�'�DRVIEW DR .OROVII;LE' ALLADIN ROOFING: COMP, ROOF:14 " "j ' r +tt ti 7t'`�:: - �.. .e - .. •.- •••StYb'ylWr, '.C. �.f'li :ii"�%s`T`rk'`'..li .0.69 316 621+' �a#98=2646 a .N�'�DRVIEW DR .OROVII;LE' ALLADIN ROOFING: COMP, ROOF:14 " "j ' r +tt ti 7t'`�:: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING -DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 9-7541— , . PER T NO. (Rev. 12/96) APPLICATION AND PERMIT (-4-\ ASSESSOR PARCEL NUMBER 069-370-021 ZONING R• - B ILDING PERMIT OWNER rmri*m I .mtrN TELEPHONE SO. FT. OCC. BUILDING VALUATION 40 C, ^ I - mP OWNER'S MAILING ADDRESS 158 RTVRAVTRW DR. ngnVTTJ,Tl CONrRACTOR'S NAME ALLAMN R00F7Q TELEPHONE CONTRACTORS MAILING ADDRESS 11595 MTLLP? PFK Rn Rntto r4 ot;oti CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 4 S ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ISA T Energy Plan Checking Fee $ $ P PERMIT FEE $ • ' LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF O Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or hest um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New)C7 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: C%1P RMF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service P00A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class 2 9 Lic. No. 3 (/ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. OR ADDNS. ( a ACC. stns. sO 3.5¢FT: NON gEOSIDMULTI-OUTLET . @7,50 POWER APPARATUS EX. OCCU OUTLET OR FORUREs 0 @ I.00 BA @ .50 Ex. Occu . oFlxUTeEo�A R IES ) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers'((comp ensation insurance carrier and policy number are: Carrier J Lo nf X -,-' Policy Number !71 /. *f'7 % f (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers'. compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X .r Date //- I `- " 7,� Signature `of Applicant - O Owner [W Contractor O Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 65.00 o. FEES IMP I FLOOD I CDF PARCEL I PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By"�,l JZ„ L_' !2� Date 4 / i ERMIT EXPIRES ON / 'Pate) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUIL DIN IVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 8-7541R T. NO. (Rev. 12/96) APPLICATION AND PERMIT Q? -=- t6 ASSESSOR PARCEL NUMBER 069-370--021 ZONING ' ILDING PERMIT OWNER NYLi1PIn JOuPi TELEPHONE SO. FT. OCC. BUILDING VALUATION 49 SQ. C),,!P 7940 . OWNERS MAILING ADDRESS 158 ]ME -VT 14 DR nP CONTRACTOR'S NAME ALL ADIM D-%OOPIFG TELEPHONE 531-9914 CONTRACTORS MAILING ADDRESS 11595 UILLEu PEAK RD. DROVILLE CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ - ARCHITECT ORENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 45-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 198 rT i DR Energy Plan Checking Fee $ $ PERMIT FEE $ 5 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF %7 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New;,❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: COn!P ROOF Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200, OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is I full orce and effect.P License Class - " Lic. No. S �� 3 y OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers'(so pe sation insurance carrier and policy number are: Carrier J IR )C:7tf Policy Number JJ"Z a /V J�`I (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. c X _ Date �,;Z-20p _ Signature of pplicant - Owner Contractor ❑ Agent An OSHA pe mit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO LuooA 46.00 NEW CONST. OW %NG OCCUP. SO OR ADDNS. a ACC. S.3.50 FT. MULTI-OImET @7,50 NON-RESIOT. BRANCH OWER APPARATUS a SINGLE OUTLET CIR. 200 1.00 Ex. Occup. OUTLET OR FIXTURES BAL o .so Ex. Occup. ounErs Ro .Den 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ cors'. TYPE TOTAL FEE $ 65 .00 raz o FEES LMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT PI ES ON the applicable provisions Resolutions to do work been paid. D Date O D hf Receipt No. �i WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev.12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER _ /\ ZONI BUILDING PERMIT OWNER TELEPNONE SO, Fr, OCC. BUILDING VALUATION OWNER'S MA0.1No„/�DD oS/ T IleCOM R'S NAME TELEPHONE CONTRACTOR'S MATING ADDRESS / CONSTRUCTION LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 04 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUaDwG ADDRESsI I/V [/ II et_jr Energy Plan Checking Fee $ $ PERMIT FEE S OU LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF kDuplex ❑ Mobilehome ❑ Other sPECFY Each Tra 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New Pd7 Addition ❑ Remodel ❑ Udlities ❑ Installation ❑ Other ❑ Describe Work: L�U��� �p Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W (920.00 PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 Main Service 20w OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect License Class Uc. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3 stories in height Main Service 46.00so NG CCU000A NEW CONST. OWEWNO OCCUP. SO DWELLING OR ADONS. ( a ACC. BUDS. 3.50FT. NNON-R6,D ' MULTFOUTCUT @7.50 PSOwoLE APPAMTU9 a oLmFT as EX. Occup. 011TLEr OR FTaIIREs 2*0 BAL 0 .SO Ex. Occup. vnFrsLNS °EES,6.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ oQ HAZ I D FEES IMP I FLOOD CDF PARCEL PD HD ssUE This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON I Mete) provisions to do work paid. Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT F . :z ;II , 2245-81B,PAE PERMIT NO. PERMIT EXPIRES 3 OWNER J. A: Nylund. 1; .r CONTR. Christopher Seegert, Oroville ASSESSOR PARCEL 69=3:2-2'1 LOCATION 158 Riverview Dr., Oroville y� Temp. Power Pole Called PG&E Temp. Elec. Service '\ Called PG&E 3 Temp. Gas Service Cal led PG'&E JOB FINALED (Date) Signature V = OK O = Not OK Not Applioable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. !Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Depth -Spacing -Connectors - 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing 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 N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI '5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -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 -I Date Card -BI Date Card -BI Date Card -BI Date t, V V = OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDE LOOK Plans OK except #'s Date FRAMING Continued Zo requirements -Setbacks -Easements 48. Ftg., Main; Soils-Steel-Elec. Grnd.- //.2-1=' Ftg. Depth iboOExt. Doors -One 3' -Check Garage -3rd story, 2 exits 3. 0 Sta'� Width -Headroom -Rise -Run -Landing -Fire Protection tg., Porches & Decks; Soils -Steel- / /;' Ftg. Depth lywood on Roof Overhang -Attic Vents -Rafter Outriggers emwalls, Main; Steel-Blockouts-Wrapped-SlabILZSiding-Nailing t^ 6• - 53.. -Fdn. V -I ccess . Piers -Fir a Ftg.-Steel zing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. ; 9. Gas Pipe; size -Anchors 0. Water Pipe; Test -Anchors -Regulator -Service Test - 1. . Electric; Underground Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -B Dat Card -BI Date Card -BI to Card -BI Date Card -BI Date Card -BI Date Card-13 Date '7_/-- Card -BI Date Date FIN lans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's Ext. Steps -Door & Sidelight Protection -Landings 57. _.-+*.-Water Ht.; Vent -Access -Combustion Air urnace; VeAu, Clearance -Comb. Air-Connector- In Garage; AbOe Floor-Ducts-Mech. Protection Wat Pipe; Test & Anchors -Nail Protection 1 .W.V.; Test-Fttngs & Anchors -Nail Protection 59._ Rg Unn' TPCt v' door -Tub Access 60. 18. T,,' r h o She ., r- door -Tub Access �]Er�C. Trim-& Subpanel; Breaker Sizes -Labels 19. ( viae PgPP' q'7P R Anrh , s/tairs & Rails rhe or S @v"fear s -H rth 6Aw-,Slec. Outlets at Wood Panel; Int. & Ext. Card -B Date -� Card -BI Date 65. Card -BI Date Date Card -BI Date ELEC ICAL Permit OK except q's 66. Garage Fire Door; Swing -Landing -Closer _ 6& - Fixture & Transformer Clearance -Ins. Protection 69.. Wtr. Htr.; V - - omb. Air-Connector-P.R.V.- Above Floor-Mech. Protection 71-1E16-arage; c. Receptacles Spacing -Lights &Switches at Doors 7 Ib., & Mech. Equip. Listed for Location 2 oxes & No. of Conductors -Stapled 7 2 Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech. Fasteners -Bond Gas & Water Intion-Foam-Looked i Attic es 25. cui in t c en & onductor Size ua�ls &Deck Construction -Post Caps u - - _ 26. Subfee 1 Wire Size / Cu o A.C. Wire.Size a. Cu or dn. Vents &Crawl Hole Door -Drainage &Wood -Earth Clearance Looked under oor ❑Yes 27. - ga. u or AI, .r , n n.._ (!" - F wing instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; PIanters ❑ Yes ❑ No 28. S c o 76. - is 29. Equip. Clearances; Panels-Motors-Mech. Equip. .0 ; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light76e�Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. #W--VentjWion Watei W�--r+: B6ki-�iePlii e9:, PI mh,_ n,.on.�� __ throughout House Card B -I Date Card -BI Date Card B -I Date Card -BI Date ase-gMection Date MEC ICAL (Permit) OK except N's _ Corrections from Previous Inspections 84. e - - �- A.C. DucMuctrfr ts; Insulation & Support Wa Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 8 nergy Compliance Certificate -Other Certificates _ _33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Card -BI _ Date _- Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRA G Plans OK except q's Comments at Final: Proper Material & Anchors _Sills; _ _ a Studs -Nailing, Spacing & Bracing -Plates -Sound _ Bearing Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) -- 40. ": _ ea Beam -Size &_ Bearing a rs-Post Caps chors-Connectors 4 Cing. Joist- <Ties-Purlin-Roof Br Shthng.-Rfnp. e./ 44. qp ace Ties Type A Flue-Fireplac roar 45. A Access_; Size & Romex Protection -Draft Stop -ins. Baffles _ 46_. _ _o s or LXITing oor - i gt. & Dimensions _ Garage Fire Protection Framin / (i6 (NOTE: An entry must 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 INCONFORMANCEWITH CURRENT ENERGY CONSERVATION REGULATIONS ATf f� �!� ks r- r () i r- W D r�?l� r rwy I ff c - (location) BU ILD ING PERMIT NO. Z Z Cj g/ )3 A P. NO. �v 'T -37 -Z I THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULAT ION : . Slab Edge /E! Fdn. Walls /V Floors t� Walls 4.— Ceiling/Roof iCeiling/Roof Ducts J --- Circulating Pipes APPROVED HEATER L APPROVED WTR.HTR. c/ GLAZING: Single Glazed N Special (Insulated) CERT. & LABELED WDS. "& SLIDING DRS. ✓ WEATHERSTRIPPED DRS. ✓ BACK DAMPERED FANS ✓ INTERMITTENT IGNITION DEVICESA[I_ 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 ( _ f►�Z s � �L r S�! c C' c r-� Signature of Insulation Applicato (please StateoContractors License No. Z 9S�� 0<? v/ General Contractor/Owner Name rhe see- Signature of 2 (p ease print) General Contractor/Owner C Date tate Contractors License No. THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO'- REQUESTING O`REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. m F& COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERAUT NO. 7 County Center Drive - Oroville, Catifornia195965 - Telephone 916/53 4541 _-� F I" APPLICATION AND PERMIT � ASS SOR PrRCEL NUMBER � 69— 37� z� ZONI G , ,�. BUILDING PERMIT OWNER 14,c r (/K TELEPHONE SQ. FT. OCC. BUILDING VALUATION. 6ZS O 000, iso OWNER'S MAILING ADDRESS - CO RACT R'S AME C ts o�v ITELEPHONE - -z6 �g `4- (p 4.14t- Op CONTRACTO 'S MAILING ADD Zin d Fireplace �SlJO,.oD CONSTRUCTION LENDER UNKNOWN Total Valuation Is 06 Filing Fee 10 $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER l[/ LICENSE NO. Plan Checking Fee $ Q Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS G C -i L � i� ✓� e �•:� r PLUMBING PERMIT Filing Fee 10.00 Each Trap 3 2.00 O i Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDIVISION NAM S��tSA / evvarc e PARCEL MAP Zl- �-� Each qas water heater or vent 5.00 Gas piping system 1 -5 outlets USE OF STRUCTURE SF [9 Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ® Remodel ❑ Utilities ❑ installation[:] Other ❑ Describe work: Permit Fee $ el—C, Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLI C 0.86\ OR ADDNS. ACC. B / 2� sq ft 2 J! CONTRACTORS LICENSE LAW I declare der penalty of perjury (check one): [ 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. ( Co0� & �l s 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 I. UTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. / Ex. Occu g0@2 P�O OR FIXTURES BAL@1 1. FIXED A EX. OCCup.(OUTLETSP(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ ,24 Contractor MECHANICAL PERMIT FiIingFee 10.00 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 onsent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating es t �U e ec -,Civ Cooling z 1-7 6,00 Hood 3.00 Ventilation Permit Feey r $ 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 again��unty in co equence of the granting of this permit. /% %� �- Date 6 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 $ TOTAL PERMIT FEE $ 3Z4, $"D ]PP. GROUP _� I TYPE OF CONST. v, I PARCEL PD HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR OF PUBLIC By. P T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 1,s -x -/Q, 4— 2��v Receipt No.�J��®�7®�7 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 0 y PERMIT NO. _ L 1257-83B31P,E PERMIT EXPIRES ) T OWNER JOHN NYLUND CONTR. Holiday Pools ASSESSOR PARCEL 69-37-21 LOCATION 158 Riverview Dr, Oroville _ i s J 4 4' ri i Temp. Power Pole i Called PG&E Temp. Elec. Servi i i Called PG&E a Temp. Gas Service Cal led PG&E c i. R JOB FINALED (Date) Signature v'=ok' O = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except H's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's 1. Zoning Requirements-Setbacks—Easements 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 y 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 N's 1. Zoning Requirements—Setbacks—Easements#1vetbacks—Easements _ Card -BI Date Card -BI Date Date POOLS (P ns) OK except N's 2. Footings; Size—Spacing—Marriage Lines; C tion—Structure lability 3. Gas; MH Test—Demand—Valve—Connector ool Structure; St onnect' hickne _ 4. Electricity; MH Test—Crossovers—Breakers—Clearances . Elec.; Receptacles and Lighting: Distances—GFI 5. Drain; MH Test—Fall—Flex Connector. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector . E c.; Enclosur Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval Elec.; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged L-,&Iec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enc losures— Pane lboards—Ins. to Main in Conduit ea rtment Approval 9. Exits; Insp.—Sketch 10. Cert. of Occupancy ir. Test—Water Supply Test ^ Card B -I Date Card -BI Date Caxd-BIDate —3-f3Card-BI Date _ Card B -I Date Card -BI Date t Card -BI ate 4 Z/-03 Card -BI Date V1 'v ✓=OK 0 = Not OK = Not Applicable RESIDENTIAL (Single and Duplex) {< = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. 4. Ftg., Garage; Soils -Steel- / /" Ftg. Depth Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 50. 51. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage: Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except p's 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting _ 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _ 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except k's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper _ 20. Fixture & Transformer Clearance -Ins. Protection 69. 70. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meeh. Protection Plb., Elec. &Mech. Equip. listed for Location _ _ 21. 22. 23. 24. E'lec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size _26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes -- _ 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral JYes El No Service -Riser Conductors & Ground -Main Disconnect 75. Followinginstld.: Drive Yes No; Walks Yes ❑ ❑ ❑ ❑ No; Planters ❑Yes [J_ No 76. Stucco; Brown -Finish _- 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _ 30. Clothes Closet Light -Shower Light -_ 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -.----------------_ Card B -I _--_----__--___ Date- Card -BI _ Dale 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric - __ 31. A.C_. Ducts; Insulation & Support - 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent-Fan_Exhaust above Insulation _ - _Condensate Drain _& Overilow: Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Card -BI Date _Card -BI_ -- Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: 36. 37. 38. 39. 40. Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound_ Bearing Walls over Girders & Floor Nailing__ Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiling Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovitle'"Cal'i4ima 95965 - Telephone 916/534-4541 APPLICATION AND `PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER - ZONING Ogg OWfTER TELEPHONE Jo �t� C - y WNER'S MAILING A RESS W4re.,J1 CO 7�C T�0; , * �� TELEPHONE CONTRACTOR'S MAILING ADDRESS L. -V S.S C �4ellr _:z �` \ BUILDING PERMIT SQ. FT. OCC. BUILDING VALUATI _e Fireplace CONSTRUCTION LENDER oovotn`io%�C UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 5; Oe) RC SZ O GINEERLICENSE o. Plan Checking Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 20,00 BU DING ADDRE S _ =��-- 0791PLUMBING - PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 _ Water piping 5.00 �.. LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTU SF [:] Duplex[] Mobilehome❑ Other 5S AWQOL SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New, Addition❑emodel❑ Utilities[] In 2ation❑ ther❑ Describe work: � ®d — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. t 2/20sgft 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 f force and effect. License No. L 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 CONSTR ULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@50 Q FIXED APPLNS. OR Ex. QCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Fiiilitin o9E 15.00 Misc. byiring L� app �C 15.00 /sem Permit Fee $ Z ,tv0 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 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 Cou ty Ordinances and State Laws relating to building -c ns ruc� )on, and her by a or)ze representatives of the County of Bruten r on 4he ab�o1v - n ' p er y for inspection purposes. I� dGnlnl p har s the County of Butte against aI ) s, i gme , c sts enses which may in any way accrue against id t n en f the anting of this permit. Date�3'�� Signature of Applicant — Owner El Contractor ❑ A g e n An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mob' a Home I allation e $ L ,v TOTAL PERMIT FEE $ �J10D 0CCUP. GROUP TYPE OF CONST. F PAR L i HD ISS E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR P BLIC By -Date PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS -S-4 ^-4 -9! 33 �/ '� I r Receipt NO. ��`T Y� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cayfiornia45965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. I ASSESSOR PARCEL ff N�IMBER •� ZONING BUILDING PERMIT OWNER 1 TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 1 (` n � �/ � '^� Il ! X71- CONTRACTORSNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER IdUNKNOWN Total Valuation $ Filingg Fee $ 10•00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER I ' ' LICENSE NO. Plan Checking Fee $ Penalty Y $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 I Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF E] Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑✓ Describe work: 2'r ^' 1 I�.' f + r•ri�� ` , I. 'J_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. t I 2/20sgft 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) ❑ 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 R. BRANCH CIRCTITS 2.50 ea NEW NO "D NEw CONSTR. ( POWER APPARATUS &� NON•RESI D. SINGLE OUTLET CIR. 2oec0a Ex. Occup(o OR FIXTURES t L030 FIXXEEDD APP LNS. ORTs Ex. OCCUp. OUTLETS (RESID.) EA•) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 r -/ 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 $ TOTAL PERMIT FEE $ (Jo � J occu P. GROUP I TYPE OF CONST. I PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY ' PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date r Receipt No. } .% f / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovillsip'Calif%rnia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT O. ASSESS TR L N ^B- I ZONING S BUILDING PERMIT OWN -.,—TELEPHONE CJ S0. FT. OCC, BUILDING VALUATION OWNER'S MAILING DR�gESdl e �j,� l Y O P�� V t CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Permit fee $ qQ BUILDING ADDRESS �v W -V, PLUMBING PERMIT —10— Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 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 Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W __10.00d TYPE OF WORK New ❑ Addit'❑ Remodel ❑ Ilities ❑ Install tion Other [✓]� Describe work:112"EER Il\ u 9 r�;�y� �' aLlUZ c�`T Sfl~ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& NEW 2�z(Csgft 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 CONNSTP_ MULTI OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR. POWER APPARATUS .&) NON-RESID. SINGLE OUTLET CIR. ExOccu 200500 . P�OUTLETS OR FIXTURES SALO SO FIXED APPLNS, OR EX. OCCUp- OUTLETS (RESID,) EA.) 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 agains said Co u ty in consequence of the ranting of this permit. X ���� &This 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 $ TOTAL PERMIT FEE6n OCCUP. GROUP TYPE OF CONST. PARCEL PD HD, ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES D te_�%�/ the applicable provi- resolutions to do fees have been paid. WORKS ate D '' r-- Receipt No. � WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT JOHN A. NYLUND, M.D., INC. 158 Riverview Drive Oroville, California 95965 Telephone: (916) 589-2434 . 7-% V, 14 lye e -e o � f I 1 H ALY NC9` ANNUAL l� I ' UILI.�NC�'1✓ EAT LOSS RATS'. RES MEN'S I7777,I 'I I i , I I ; IF• I I All y 'u. I; b11, OWrler C I I aro4 Ct Checked by I 1t s stemdYhb I date y � I I ,--- daC:4lmr�ntatif n autttaY01 dat0 7t MOURL` NEAT LOSS J DESIGN TEMPEI,taTIJR t]IFPEffiN CE r For Alf Co,iiditions�;Oth �r 1"han the. Fc�liowf,n 70nF �'I of —''' A7WI 5 { °Fr Tow from Forms 1 ; o FV'2r Insulated Floor Over ante SpaceLn iw21Fo For Unihstlated Floor CJver Vented Unheted Space , I, , .. Line;': 2 - 5°F .. ATrv3 3 aF �. I I I ; CONDUCTIVE' 'HEAT, LOSS U from Form Framing „ C�"w Area, ftp or l,lor Ft,from Factor from°' Prumi t, a Table above t] P on Pi ombly alength, tt X , . escYi 4C of ss ' 5""— II L U © Glniirig �I�a c i i� l ir?I --�--�r- -�- Btu/lie Wf�li �rr�r. x �w....r.r."'�1'•r�, �.ti�, X i x x X i xx x ;I I X x I x�I x I X X : %cell f xM, x x Floorr.Y. w� x t' X 1 X t'7 x C"r� r X x i Other is x x I I r' subtotal, d 8tuj�r � t r' I ( INFLITRATION (Enter 0 o n LIna 5 if thea is po,00ve ventilation) ftz x . _ ft x k °F fl 5 Gross+�Flbar Brea rn'�'3hted I from r '�bie317 A'�"w fror Average Uge 11 tl Ce1lia�ti W;lght � I I � t 'r e ,vele tie i' VENTILATIdN :(Enter 0 on Line 6 it then is no pose i v n I t, on1 II 0 ,ft-hminlx' I x .OS �Btu " Vcnt115tiori �atd from 'AT frorn Lina I I Caaculatloras +t Subk0ta1 7 I lhr , bUCT HEAT LOSS"(5nter 0 ort Lore 8 if There are no ducts) `I w 0115 x. bni 7; I� 8 I I I I TOTAL, 1 �.,.�..�..,..._..�,..�. , Btu hr I I NI�AL HAT LOSS II I. I I I I ' o ,. / _� Btu/tar k x 74'.hr/de � I HOD from Appendix C; � I,Wburly Heat Loss t Crddi frn"mlLine 1'ablail3,8�kulyr ,- A. pF; I 1 I wtroli I l s Q'' I I. 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