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HomeMy WebLinkAbout069-460-04869-46-48 DAVID SPEEGLE GOMER, Lee Roy 920-71B 80 llpica A'vu,Lue, Oroville ! 2� 1. Permit#786-85B(add patio cover over __1 -7--- .4 - exis.ti.ng..deck)SF-,.n - _ -_ 3.4-47- 069-460-048 g0 Apica Ave., Orovil e SPEEGLE, David PE (new single family) CM y 80 Apica Ave., Oroville Cont; George Roofing Reroof/SF a cfli ani' �t cfli 069-460-048 PERMIT#95-1543 SPEEGLE, David 80 Apica Ave., Oroville `Cont"; George Roofing Reroof/SF ',��®/G�� P 26/ COUNTY OF BUTTE -DEPARTMENT OFDfVELOPMENTSERVICES -BUILDING DIV ION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 a PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _ r ` `.0 _ O� ? (J ZONING BUI NG PERMIT owN S 12 /dOWNERS TELEPHONE Ods w SO F r OCC. BUILDING VALUATION � t MAILING AD RESS tC92.1 / Rn eia D/O `41&H O 0 CONTRACTOR'S NAME ef t'Y►C TELEPHONE CONTRACTORS MALING ADDRESS p t ��� f s' Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ pp, u$ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ rY0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS T O vv . PERMITFEE $ 41-490 PLUMBINGPERMIT Fling Fee 1 20.00 Each Trap 7.00 LOT No. SUBON5ION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF)( Duplex ❑ Mobilehome or Other ' SPECIFYf Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 0�y7 j f Describe Work: 1 �L��rr Mobile Home S G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service600V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 Lic. No. L�/'��.Z (� �f 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 NEW CONST. DWELLING OCCUR s0. OR ACDNS. ( 8 ACC. BUDS. ) 3.5¢ FT. NEW CONS T.LTI.O UTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER ( US ) d SINGLE APPARATOUTLET CIR. 20 @ 1.130 Ex. Occup. (OUTLET OR FIXTURES) BAL 50 FIXED APPWS. OR Ex. Occup. ( OUTLETS (RESID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 ��/� 7R,. � � � f�C MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) ❑ I certify that in the performance of the work for which this permit is issued, I shallTOTAL 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 �QFt'«J.Y —_ Date 716 _ Signature of AppligAt - ❑ Owner `Contractor B-Ag'en An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories inn height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC I CONST. TYPE FEE $ HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under tile applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. / By ./Z11 Y, ,/ Date l� PERMITEXPIRESON (D e) ReceiptNo.i OV / } WHITE-D.D.S.-B.D. CANARY -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF D_EVIELQPMENT SERVICES - BUILDING DIV 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 _J, JERMIT No. APPLICATION AND PERMIT ASSESSOR PARCEL NUMB T zONING BUI NG PERMIT ow `" C e jE3,7 SO. FT, OCC. BUILDING VALUATION OWNERS MAILING ADARESS I call10 t s" � Ile 6( 670 4O! give), � O CONTRACTOR'S NAME I 0 o t, h TELEPHONE s 3— 3173 CONTRACTORS ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ ©Of LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 00ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADOREss„ O /��!/ y PERMITFEE $ d0 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF,K Duplex ❑ Mobilehome IV Other ' SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service OOOV OR LESS ( zooA OR LESS ) 23.00 Main Service ( 200A TO Io00A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing Section with 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class 3 C{ Lic. No. �/� L G OWNER-BUILDER DECLARATION 1 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 NEW CONST. DWELLING OCCUP.S0. OR NS. ( 8 ACC. ) 3.5t FT. NEW CCONST. MULTI.O UTLETLE T NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET Clq. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL Ex. Occup. OUTLETS RESIoj OR ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor 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 insuranc�j carrier and policy number are: Carrier ��� jC !s hd MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number _,2R:K— sw 47 (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' 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 fort ith comply wi those pr ision % X __ Date I' � �� _ Signature of Appli t - ❑ Owner 99contractor I An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been I B Date PERMITEXPIRESON /a (DA) provisions to do work paid. 9 rin�height. FReceiptNo. / WHITE•D.D.S.-B.D. CANARY -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT R PERMIT NO. 786-85B PERMIT EXPIRES OWNER DAVID SPEEGLE CONTR.. owner ASSESSOR PARCEL 69746-48 LOCATION 80 Apica Avenue, Oroville a Temp. Power Pole Called PG&E a Temp. Ele �Callei Temp. Ga; Calle JOB FINA Signa = OK = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except k's Date DEC S, COVERS, CARPORTS, ETC. (Plans) OK except p's 1. Zoning Requirements–Setbacks–Easements oning Requirements–Setbacks–.Easements 2. Soils; Special MH Support–Sketch F tings; Size–Depth–Spacing–Connectors 3. Sewer; Location–Test–Fall-C/0–Concrete 3 D ks; Girders and/or Joists–Decking–Bracing–Stairs–Rails 4. Water; Location–Test–Easement Needed (Sketch) Wood Awn.; Posts– Beams– Rftrs.–Con nec.–Shthg.–Rfg.–Bracing 5. Electricity; Location–Clearances–Grnd.–/ / Amp–Concrete -&-ATum. Awn.; Columns–Connections–Splice–Decal–Enclosures 6. Gas; LocatiorrTest–Wrap:/ /"L" ft./ P'Nat.or/ /"L"ft./ /"LPG -6—Carports; Windows–Doors 7. Utility Clearance Fio Card -BI Date Card -BI Date Card-BiTP Card-B Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except p'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/O 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 V = OK O = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce tq'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. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. 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 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. 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 Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except p's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail 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 q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked iAttic ❑Yes 73. Guard Rails &Deck Construct ction-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 Al 74. Fdn. Vents & Crawl Hole Door -Drainage &Wood -Earth Clearance Looked under Floor E) Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 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. 79. Water Well; Disconnect, Electrical, Plumbing 80. 81. 82. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Glass Protection Card B -I Card B -I Date Date Card -BI Date Date Card -BI Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. 84. Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except N's Comments at Final: 36. 37. Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp_.-Rfn_g_._ _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE _ DEPAflTMENT OF PUBLIC WORKS PERMIT NOg_ 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 dC/ APPLICATION "AND PERMIT ASSESSOR j�/7_ EL NUMBER ZW& BUILDING PERMIT O WNE TEL�.EPH ONE 23 ID.115- SQ. FT. OCC. BUILDING VALUATION OWNER'S ILING DDR 55 CONT AC TOR'S NANKq 1A �p�/ TELEPHONE V, V CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Lana (9 LICENSE NO. Plan Checking Fee $�i Penalty $ ARCHITECT OR ENGINEER'S MAILING AD RESS Permit fee $ 130 ,'7 BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDI VISION 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 G W 10.00el TYPE OF WORK New ❑ Addition model F-1Utilities ElInstallation ❑ Other ❑ Describe v r O V P_ Y _ 1G ks Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100AOR MP OR UU SLESS 10.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR AODNS. ACC. BLDGS. 2I/20sq ft 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 J 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. ULT'.OUTLET NON.RES'D BRANCH C'RC', 'TS 2.50 ea NEW CONSTR /POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. Ex. Occu 20®50e P�ouTLErs OR FIXTURES BAL03OQ FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA./ \ 1 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 shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, osts, and expenses which may in any way accrue ag ns sa d Count con quence of th ranting of this permit. 3 _ �� _ 0�� Date K-1 Signature of Applicant — Owner WContractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overstories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE OCCUP. GROUP I TYPE OF CONST. IPARCE PD HD suE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR R OF PUBLIC P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS o a3 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION Y• 7 COUNTY CENTER DRIVE - OROVILLE, CAS,-IFORNIA 95965 - TELEPHONE: 916/534541' PERMIT APPLICATION DATA SHEET Permit No. OWNER N � A. P. No. (_3 Proposed Building Use Permit Fee Based Upon: Complete Contract Price PW Valuation /� Other (Explain) Building Inspector. 0a) Date �� j"' �� At time of permit application, I ws advised the following data must be submitted prior to permit processing and1or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2— Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non-Heated and AC Buildings. 8. Fees of $ . . . . . . . . ff 9. Letter of signature authorization. l Sanitation approval from �c/ `~ • Health Dept.. 11. Planning approval .for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner-Builder Verification (Given to owner, Mail to owner [] ) 15. Improvements may be required. . . .. . . . . . . 16. Mobilehome Installation Data. . . . . . . • 17. Pre-Inspection for Pre-Inspec. request to Required. Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Other When you issue thee�rmit, process as follows: Ma. I tolowner. Mail to contractor. �elephone.`�� —3f_XgSand hold for pickup at office. Deliver w. /inspector. Other - Applicant �J�:��• i,� v� Date � 21- �S Copy of plans sent Health Dept., Fire Dept., Other v Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date Other: - Copy—DPW .. A3. iI .Y M"` This sed o§ plans und, spy cij;ga�iov,3 �VuSy kapf on As pnb e CmN anc7 i� is unlawfv�c vir an permission f�,orn Dzpar�mcn� oq- j O. I,v'. /..D . D i tc h oPPts, CCUMy of 001d1c, i Y C1 V, rM�, -lip sholiC ne .. € Prac�icc s and Q� �`u' C`3 C' ;:u u Y SSP ter.' `u' a i'u SG :B�Io J usz in -Faz Q Mechanical, Ccdan ane -DOAALD j� AM)' _D: TUCKr"R O. R., 393 ... 1..D, 2119-0-0990 3• ��a' _.. .. _. 2'xio PGCE Co. Rncwf E en+eh%. _.. 5 fig_::: - - ---- wku- -._... V' IV 77 5 3 lu -�. ., a west p� ,DAVLD Z. EDITH L. -5PE'fG Lf ..1"CU ��•�G���lt ®.{���.�� liP� I. N __ _ _. :. cov,,7 rlIrie sl y%9 l lir © - - - - --- - - s�rbctijres or-e'qu!pm.� except ewe SANDRA K. ADAMS -..314. L I� � �:�-Y �4Y� y :... t — - _ : �:l _ y iUnless, otherwise shown all courses extend to or Ialong boundaries or lines - — i CITY, RANCHO. SUBDIVISION. ETC. Por. OROVIL Lr - WYAMDOTi E' 6MOITZ,40S UNIT No. 3 //- MAPS - /1 CALIFORNIA LEGEND COORDINATES ZONE...._.......—.._ Q CALCULATED COORD. E.--___-...._ ...... _...................... N.... ... ___...... . � SCALED COORO. . U.S.G.S. QUAD SCALE SECTION TOWNSHIP RANGE MERIDIAN 1"=1D0, l 3 / 9 N 4-6 mDBM DATE • I. COUNTY OF BUS' -TE •J — /3 — 77 1F.D.: OR. BYt — a2 CH. BY: 3PC-,aPo1FI COLLA%E Iwo /-1S64-D I -T4-77 �� e ( J • bcdro6,A POO/- , Be,foje` odSe wall a i woeQ o� P. T. ? i! i�o s is .7- % OG If x G"ct 9 - !.--- i SGG2/e r!t jlOt. �aI i0oQJ ��ri� eG BUTTE. COUNTY BUILDING. DEPARTMENT oor. ��ci A f e 5 ROVED. ���,�l, �� , fico A