HomeMy WebLinkAbout072-080-021LOT BLOCK
TYPE PERMIT NO. PLAN NO
PERMITIT
--A.P.
sPAUL CORLEY
''p, {
s'" 1s Olive Highway 350' east of Kt. Ida
ti Rd., Oroville
CONTR: 0. W. Clinkingbeard., Oroville
Permit 238-73B
(repair fire damage)
SUBDIV.
DATE ISSU 72-08=21 '` -229-90B,P,E
DeDABY.,, Richard -
5648 Old Olive Hwy; Oroville
( GARAGE TCONV,.) . 3e 6,t. . d'b /(]�
f 72-08-21 1570-9.'_B, E
SHEARER, Brian q
5648,01d Olive Hwy, Oroville
(new attached garage)
PERMIT DESIGNATION: B -BUILDING
DEPARTMENT OF P -PLUMBING
BUILDING AND SAFETY T -TRAILER
072-080-021
SHEARER, BRIAN WALED
5648 OLD OLIVE, OROVIL
ADD FAMILY RM & REMO
E -ELECTRICAL U -USE PERMIT
TV - RADIO -TV ANTENNA V - VARIANCE
S/W-SIDEWALK NOTICE S -SIGN PERMIT
r _
r
REMARKS
HM -HOUSE MOVING
EP -ENCROACHMENT
D - DEMOLITION 600. 1
ZI
D
r
;
U)
-I
m
y
fY
D
T
-u
r
D
Z
n
m
(B
m
a
2
i
y
PERMIT
NUMBER
v
y
v
i
D
y
v
y
v
O
v
y
v
y
O
D
v
,D
y
O
y
O
y
O
y
m
m
D
>
D
D
O
D
i
D
I
Q
m
m
O
O1
>
OO
t7
m
m
m
m
m
a
In
In
m
of
m
'
m
y_
O
v
LOCATION.
-DI
m
m
Q
FORMS,
O
m
FOUNDATION
REINFORCING
ZI
D
r
;
U)
-I
m
y
fY
D
T
-u
r
D
Z
n
m
(B
m
a
2
m
A
3
2
C
3
m
m
y
PERMIT
NUMBER
v
y
v
O
D
y
v
y
v
O
v
y
v
y
O
D
v
,D
y
O
y
O
y
O
y
m
m
D
>
D
D
O
D
i
D
I
Q
m
m
O
O1
>
OO
t7
m
m
m
m
m
a
In
In
m
m
m
m
y_
O
v
LOCATION.
-DI
m
m
Q
FORMS,
O
m
K
z
to H
b n
G� 0
b Z
b
Q
Fno
h O d
v
I
PERMIT
NUMBER
v
y
v
y
D
y
v
y
v
y
v
y
v
y
O
y
v
,D
y
O
y
O
y
O
y
D
>
D
D
D
i
I
Q
O
>
OO
m
m
m
m
m
m
m
In
In
m
m
m
LOCATION.
FORMS,
FOUNDATION
REINFORCING
STEEL
FRAMING
INTERIOR
LATH
EXTERIOR
LATH
INTERIOR
PLASTER
EXTERIOR
PLASTER
CONCRETE
BLOCK
GARAGE
FIREWALL
FIREPLACE
FINAL
K
z
to H
b n
G� 0
b Z
b
Q
Fno
h O d
v
I
i
NOTES RESIDENTIAL _
S %�� �`�y////•%%''
072-080-02140 3-1558
- - 1
r ��' PERMIT N0. SHEARER, BRIAN
5648 OLD OLIVE, OROVILLE i
ADD FAMILY RM '& REMODEL
r.
SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date) b
Signature==
CHECKED
BY
4
j
M
1
Sr
'r
1
4
}
F
1
1�
s-
-
r
i
r.
SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date) b
Signature==
CHECKED
BY
J=OK
0 = Not OK
. = NootReadyable
Card B-1 Date Card B-1
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
2.
1.
Zoning Requirements -Setbacks -Easements
Gas; MH Test -Demand -Valve -Connector
2.
Soils; Special MH Support Sketch
5.
3.
Sewer; Location -Test -Fall -C/O -Concrete
Water; MH Test -Regulator -Connector
4.
Water; Location -Test -Easement Needed (Sketch)
8.
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Tie Downs -Type -Installation Cert.
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or/ /" L "ft./ P LPG
11.
7.
Well Clearance & Disconnect
8.
Utility Clearance
6.
Water; MH Test
Date
Water and Sewer Connected
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to.Grade-HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
1.
Card B-1 Date
Card B-1
Date
3.
Card B-1 Date
Card B-1
Date
PERMANENT END SYSTEM (ONLY)
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
1. Zoning Requirements -Setbacks -Easements
7.
Electric
2.
Footings; Size -Spacing -Marriage Line
9.
Siding; Nailing -Veneer -Stucco -Mesh
3.
Blocking
11.
Ext.; Steps -Doors -Landings
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and. Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
Date
Card B-1 Date
Card B-1
Date
Card B-1 Date
Card B-1
. MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements '
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 'Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elect; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
= OK
= Not OK
= Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date UfiiDERFLOOR
(Plans) OK except #'s
1.
2.
Zoning -Setbacks -Easements -Flood -Slope
Ftg., Main; Soils-Elec. Grnd.-/ Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftq.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.PI
ms & Ducts; Clearance -Material -Support -Ins.
15.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Access & Ventilation
16. Insulation
Date Lj1 Card B-1 hqA Date Card B-1
Date t Card B-1 ' Date Card B-1
Date PLUMBING (Permit) OK except #'s
17. ftter Htr.; Vent -Access -Combustion Air Baffle
iter Pipe; Test & Anchor -Nail Protection
W.V; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
Fi ture & Transformer Clearance -Ins. Protection
Receptacles Spacing -Lights & Switches at Doors
e Boxes & No. of Conductors Stapled
7. Rpmex Installed Close to Edge of Studs & C.J.
Pgo"Equip. Ground made up w/Mech Fasteners -Bo iel eas & Mile
2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subs ( Ire Size/ rga, Cu or AI-A.C. Wire Size/ /ga Cu or Al
31. - e ircle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes 0 No
32._ - iser C s ound Main Disconnect
ip. Clearances PaneLi-Motors-Mech. Equip.
oset Light -Shower Light -Spa Light
Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MEC ICAL (Permit) OK except #'s
A.C. Ducts Insulation & Support
an,Exhaust above insulation
38. ve ow, Size & Grade
39. urnace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. satform if Furnace in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Permit) OK except #'s
Sills P oper Materials & Anchors
alls Studs -Nailing Spacing & Braces -Plates -Sound
Baring Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
4 ps, Furred Ceilings -Stairs -Chasers -Tubs
eaders & Beams -Size & Bearing
Date
Wo"Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtnq.
-41-Fireplace Ties or Type A Flue -Fireplace Throat Clearance
in ows or Exiting Doors -Sill Ht. & Dimensions
5 . aqe Fire Protection Framinq-RC Channel
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
St ' , idth-Headroom-Rise-Run-Landing-Fire Protection
lyw on Roof Overhang -Attic Vents -Rafter Outriggers
iding-Nailing Veneer
p Screed -Fd. Vents-Underflr. Access
Area -Glass Protection -Skylights -Plastic
-WIGlazinq
&Q. qW Walls; Nailing -Bolts
Brae Interior/Exterior Wall Panels
nsulatio - eilings
63. Infiltration -Walls -Windows
DateDate7VW
n Card B-1 Date Card B-1
Dater
Card B-1 Date Card B-1
Date
FINAL ns OK except #'s
E . Steps -Door & Sidelight Protection -Landings
Smoke Detector
urnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
e roomxi in
& ath ix ure Tub Access -Spa
L58!€Tec. Trim & Subpanel, Breaker Sizes & Labels
airs &Rails
teveti-Cleaxance-Hearth
ec. Outlets at Wood Panel, Int.
it. Fixt. & Appliance; Ground Y -G - ooking Clearance
lec. Outlets & Receptacles at Kit. Counter
arage Fire Door; Swin - anding-Closure
76 A C Durt in F3acano-Hamper
omb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
Elec. & Mech. Equip. Listed for Location
7Q. arage(F.F.I.)-Romex Protection
80.1 - in Attic
Construction -Post Caps
dn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
_
NoMalks 0 Yes 0 No/Planters 0 Yes 0 No
65 A r Unit LZisrnnaert-Electrical-Plumbing
'§§,-WT fB Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
e2trical, Plumbing
LP. -Exterior Elec. Trim, G.F.I. Receptacle -Underground
n roug t House
ass Protection
ec ions from Previous Inspections
Gas -Electric
Sewer Connected -C/O to Grade -HD Approval
nergy Compliance Certificate -Other Certificates
5. Address Posted
96. Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
l�.`^-c+,.�'.t.�i��''i`�.�►+�s�/--,sYe^r'_'S.3n�+-",L,..-.+.1-.... �rr..r-..1:rr-r�r�.. i...v..��,y,..- . r..:.+...r..�. �:te.- "�ti .y¢.�:.:�yr
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
r 411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive - Oroville, CA • (530) 538-7541 t.
3
CORRECTION NOTICE
OWNER PERMIT NO.
a
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If yo have any questions pertaining to this matter, or need additional explanation,
please co la _ is office immediately.
i
Date. 7, Inspector _z' A—
REV' 10/�
d
A
�
Date. 7, Inspector _z' A—
REV' 10/�
a+.. �r}P-+s-+tir.e_,+w,:_+ a nr 4. � max. ^.. . R+... • . i. .�" a
COUNTY OF OF BUTTE
'BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
sxg /..
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 notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Date �%/�� Inspector
REV '0/92
�x
f
Date Inspector
mr-)l inmA
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
21-
411 Main Street•Chico, CA * (530) 891-2751
County Center Drive - Oroville, CA - (530) 538-7541
CORRECTION NOTICE
�Q - _V�N E R
PERMIT NO.
�outine ins3e'ction indicates that the following violations of butte county Ordinances exist at the
N.,h.Re address and should be corrected. Please notice this office when correction of work is
.Nbr;pleted.
it you have any questions pertaining to this matter, or need additional explanation,
please contact
this office immediately.
2�1
-2
.3a<
Q
Date Inspector
mr-)l inmA
Insulation Certificate
BUILDING OWNER:
BUILDING LOCATION: J`,Ogg 61.,'b 4c -[UG (�
Description of Installation
ROOF "
Material -
Thickness (inches)
BUILDING PERMIT
Brand Name
Thermal Resistance (R -Value)
CEILING
orBlnetTypIAN-�•0�e
Brand Name A
Batt
Thickness (inches) ThermalResistance. (R -Value)
Loose Fill .Type Brand Name
Contractor's minimuinstalled weight/ft' lb Minimum thickness inches
m
manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) !
EXTERIOR-WALLiJ U�
Material . I 62"Lo s S BrandName
Thickness (inches) Thermal Resistance (R -Value) UJ
RAISED FLOOR
Material F I Pi�'[L 6L-tA�iS Brand Name
Thickness (inches) Er Thermal Resistance (R -Value)
Q 11
SLAB FLOOR
Material
Thickness (inches)
I.
Wtdth (ulces)
Brand Name
Thermal Resistance (R -Value)
FOUNDATION WALL
Material Brand Name
^�ermal Resistance (R -Value)
Thickness (inches)
Declaration
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
California Administrative Code.
Seneral Contractor (Buil r) License Number
ll A -7•-?,i^0
LI
.Signature and Title Date
Sub Contractor (Insulation Installer)
Signature and Title
License Number
Date
THIS CERTIFICATE MUST.BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POSTED All JAR N 1� BUILDING.
1
1f' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 03!
T5`9
(Rev.i2/96) APPLICATION AND PERMIT
ASSESSOR PARC -:L NUMBER 072-080-021
P. -R ZONING
BUILDING PERMIT
OWNER
SHEARER BRIAN & KELLY
TELEPHONE
589-3301
SO. FT. OCC. BUILDING VALUATION
- OWNERS "UNG ADDRESS
5648 OLD OLIVE HWY., OROVILLE 95966
CONTRACTOR'S�4AAMEE
OWNER
TELEPHONE
CONTRACTORS 14AIUNG ADDRESS
CONSTRUCTION LENDER
LENDER'S MAIUN-3 ADDRESS
Fireplace
Total Valuation $ 28.7-38.00
ARCHITECT OR EAGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 278.00
ARCHITECT OR EUGINEERS MAILING ADDRESS
Plan Checking Fee
$ 180-70
BUILDING ADDRESS
5648 OLD OLIVE WY OROVILLE
Energy Plan Checking Fee
$ 21-00
$
PERMIT FEE
$ 501.70
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Feel 20.00
USEOFSTRUCTURE
SF X1 Dup-ex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00 7.00
-
Solar or heat um water heater
23.00
Water piping
15.00 15,00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ]0 Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ADD FAMILY/REMODFi. KTTC'HFN
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00 15.00
Mobile Home IS I GI W1
@20.00
PERMIT FEE
$ 57.00
�100D' X,1025D SRA
ELECTRICAL PEReoMIOR
Fling Fee 20.00
LEss
Main Service zo.A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affi-m 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.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
ILaw for the 'ollowing reason:
8� 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 coistruct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reascn71
Main Service 200A TO 1000A
46.00
NEW CONST. DWELUNG OCCUP.
OR ADDNS. ( a ACC. BLDS.
SO
3.5¢x:11, 70
NFW
NO"I.ga,p T. MULTI.OUTLET
@7.50
POWER APPARATUS
a SINGLE oLET CR.
Ex. Occup. OUTLET OR FIXTURES
20 @ 1'00BAL_ @ .50
Ex. Occup. OuTLEEDTSAa 6.) E
R
5.00
Tem orar Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S
WORKERS' COMPENSATION DECLARATION
1 hereby affi-m 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
perfo-mance 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 permitis issued.
workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50 6.50
Ventilation
2XtE'Il ductMy
.15.00
PERMIT FEE
$ 41 99
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 certity 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
with cc h those provisions.
G
_ Date I "(� 3
Si ature d Applicant - ❑ Owner ❑ Contractor ❑ Agent
Ln OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ C,77 qQ
HAZ.
_--
D. FEES
IMP
FLOOD
X
CDF
X
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 EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
o
Date
ReceiptNo. 381805/ $677.90
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
c:. a..-. r:•l"`"_ �.aR�" ...�.t1y,s�:r:....�_
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- UILDING DIVISION
' 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: 6 ►,C1(T ) � en r 1° r ASSESSOR PARCEL NUMBER ( ) � —a to u
Proposed Building Use; /'///(/� /j Counter Technician: I b' Date:
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
/I -.Plot plans, 3 or 4 sets, signedty the preparer of the plans.
V2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Ergineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
E?<. Ergineered truss details and layouts in duplicate. No faxes!
5K5. Erergy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot plan and business license'approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings......................................................:..
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Eazardous Material Form..............................................................- "...............
❑ 13. • Cither f.j ` . i -
Remai ' g items needed to issue the permit. (May require additional plan review upon receipt of the followinj items.)
4. Fees as shown on the attached Schedule of Fees Due
❑ 15. Statement of Intent for Non -heated and A/C "Buildings'-.?..:. ...................
.... ..
itation and plot plan approval from the Environmetital-H:ealth Departineht in =9'=03 Ary --X-5
0.17'. City of Chico Plumbing permit ....................... ............. ...........*
•CA8. California Department of Forestry plan approval paid. Sent by�.............(... (o a
Planning approval for (A) Use: QIP (B)Parkmg: (C) arcel Check: — & —`Lp
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage .............................. _
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construcyi . n approval prior to occupancy). _
❑ 22. Pre -Inspection for -,require ................ _
❑ 23. Contractor's license information. (Number, Name Style,Classification)...................... _
❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. _
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... _
❑ 26. Letter of Signature authorization.............................................::..................... _
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ..............'..................... _
❑ 28. Manufactured home utility clearance...............................................................'
❑ 29. Existing violations and/or expired permits.........................................................
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Clher:
When issued Telephone �� _ "�'� Com. and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
A r 5-25 •b3
pp scant. Date.
Index Jermit applicationpp`for the above items numbered: r11 p -A4 -i., Plan Check Letter
: Additi5nal items required
`Contractor, designer* ne ,was advised cf the above data by ❑ phone, ❑mail, ❑counter, by. ��?�Date: tr
`Contractor, designer, oner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: 0ISVI0 3 Dater 1420, Plans approved by: ff A Date: 0".
Structural reviewed by:Date: Structural approved by: Date:
Note transfer by: Date: 17,
Yellow: Building Division
Blot Sion A
J
Sant to ®.D
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
401 Az
Owner/Location AP#
Plan Approved for: Sewage Disposal ✓ Water Supply: Public ✓ Private Well
Clearance for dwelling. Otherf A- �»�c 4/ A"', alter
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental I feth Specialist Date
8/96
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
SCHEDULE OF FEES DUE
OWNER
PROPCSED BUILDING USE
A.P. # -O 24
DATE V3
RECEIPT # DATE REC.
1. BUILDING PERMIT FEES
Balance Due ....................... $
Additional Fees Due ................. $
Additional Fees Due ................. $
Revised Plan Checking Fee .............$
O2. SCHOOL DISTRICT FEES L
(paid at District Office) (Available after Plan Check) 151
µ.Pimm
3. SHERIFF FEES (paid at Building Division)
Residential ...................... x $360.00 = $
Units
Commercial (sq. ft.) ............... x $0.03 = $
Sq. ft.
4. URBAN AREA FEES (paid at Building Division)
Residential ................... x = $
# Units Amt.
Commercial (sq. ft.) ............ —X—=$
Sq. ft. Amt.
5. RECREATIONAL DISTRICT FEES
(paid at District Office) (Available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
i
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10.OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees
may be. changed during the plan checking process.
APPLICANT I o— DATE — Z I-03
Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been
imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned
items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a).
Origina9 - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00)
-�u
National Pollutant Discharge Elimination System (NPDES) Phase II
Construction Stormwater Permit and Storm Water Pollution
Prevention Plan (SWPPP) Acknowledgement
Project Title:
By signing below, I, the project owner/owner's agent, certify that I am aware that a construction
project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from
the State Water Resources Control Board and that it is my responsibility to submit a Notice of
Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00
made payable to the State Water Resources Control Board to obtain such a permit if my project
dlisturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1
acre of land. I am aware that submitting false and/or inaccurate information may result in
revocation of grading and/or other permits or other sanctions provides by law.
Signed:
Title:
Date: S 7-1—o3
National Pollutant Discharge Elimination System (NPDES) Phase II
Construction Stormwater Permit and Storm Water Pollution
Prevention Plan (SWPPP) Acknowledgement
Project Title:
By signing below, I, the project owner/owner's agent, certify that I am aware that a construction
project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from
the State Water Resources Control Board and that it is my responsibility to submit a Notice of
Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00
made payable to the State Water Resources Control Board to obtain such a permit if my project
disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1
acre of land. I am aware that submitting false and/or inaccurate information may result in
revocation of grading and/or other permits or other sanctions provides by law.
Signed:
itle:
Date:
NPDES & SWPPP Non -Compliance Certification
Butte County Storm Water Management Plan
Revised 5/22/03
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
!►(One form per Building)
School District l _ Building Department No.
A.P. Number V / a - CEO D,�) Jurisdiction: City County
Property Owner I lJl ✓ l&—
e,S V Vi
Property LocatioNAddress (Q 4 r ( L f
- 4
Subdivision Lot N1
r
..............................""""'..................................................................
Residential Development F V7 Sq. Footage
No'of Living Mobile Home Addition/ 'Supplemental to (Group R)
Units Installation Conversion Permit #
'(No foundation inspection):
..................................................................................................................
qommercial/Inclustrial
New
Building Department Representative
District Identification No.
clans reviewed by School District Personnel)
�v^,) J ; �t_ School District certifies that
Sq. Footage
(Including Exterior
roofed Areas)
Date `
(A plicant)
56* f oil n 1 it Je- 4"►u
(Street Address) (Phone Number)
9 S9 c� b
(City) (State) (Zip Code)
has complied with the requirements of Resolution No.
representing 3-J,4 square feet.
School District
CN ! — 0, — L p by payment of $ N /C-_
1-8 2926 $
FULL MITIGATION $
Date
Paid by Check # I
IAC Remarks: 0-12 —Oro «- O.l—k
3 3
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xls (10198)dmm
O.B.- I
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally plan to provide the major labor and materials for construction of the proposed
property improvement: YES NO ❑
I HAVE 4 HAVE NOT ❑ signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction.
NAME:
ADDRESS: CITY:
PHONE:
CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS:
PHONE;
CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE' TYPE OF WORK
SI NED:
PROPERTYOWNER:
STY NiJMBFR:
DATE: 5-21^o3
NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must he completed and
returned to our office before we are permitted to issue the permit
OVER
OWNER BUILDER INFORMATION
Dear Property Owner:
R[4
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such
a permit Building permits are not required to. be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors; then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are
- subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
1rely,
1�ficel C. Vila, C.B.O.M ger, Builg Inspection
NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code
RIM -3z,
RESIDENTIAL
x ' 72-08-21 1570-91B,E
SHEARER, Brian
5648 Old Olive Hwy;,Oroville
(new attached garage)
JC
t
.o
J=OK
O = Not OK,
Not =
Not Ready MOBILE
MOBILE HOMES
Date
MCBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1_ Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3_ Gas; MH Test-Demand-Valve—Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5_ Drain; MH Test -Fall -Flex Connector
6 Water; MH Test -Regulator -Connector
7 Water and Sewer Connected -C/0 to Grade -HD Approval
8 Gas and Electricity Tagged
9- Exits; Insp.-Sketch
10 Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
I
MISCELLANEOUS
Date DECKieOVERS, CARPORTS, GARAGES, (Plans)OK except #'s
Zoning. Requirements -Setbacks -Easements
ootings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. orts; Windows -Doors
lectric___-
ils-Anchors-Studs-Rftrs-Trusses
idi g; Nailing -Veneer -Stucco -Mesh
Lae<oof; Shthg-Roofing
11. Ext.; Steps -Doors -landings
Date i Card B- Date Card B-1
Date —1 Z. Picard B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
(Z= NofiJK
Not Ready
RESIDENTIAL (;
=Not Ready
Date UNDERFLOOR (Plans) OK except'ti's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wra pped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except ti's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
--------- --- --------------------------
17. Water Pipe; Test & Anchor -Nail Protection
---------------------------------------------------
18. D.W-.V.; Test -Fittings & Anchor -Nail Protection
----- -- ---- ---------------------
19. Shower Pan; Test, First Floor -Tub Access
---------
20. Test -Tub &--- Shower, Second Floor -Tub Access
----------------- -------------------
--- 21. Gas Pipe: Size & Anchors
Date - - Card B_1 Date Card B-1
- -----------------------------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except ti's
22. Fixture & Transformer Clearance -Ins. Protection
- - - - -----------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
--
----- -------------------------------------------------------------------
24.-Size-Boxes-&-N-o.-of Conductors_Stapled -
- ----------------
25. Romex Installed Close to Edge of Studs & C.J.J
--------------------
26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water
--------- ----------------------------------------------------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI
-----------------------------------'-----------------------
28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size ! ! ga.
Cu or AI
29. Range Circ / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
----------- --------------------------------------------------
--- ______30._ Service -Riser Conductors & Ground -Main Disconnect
----- - -----------------------------------------
31. Equip Clearances Panels-Motors-Mech. Equip.
-----------------
32.- Clothes Closet Light -Shower Light -Spa Light
-----------------------------------------------------------------------
33.1. Smoke Detector
------------------------------------------------------------------------------ --
Date Card B-1 Date Card B-1
-
-------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) Ok except ti's
34. A.C. Ducts Insulation & Support
-------------------- ---- ----- - ---------------------------------------------
35. Vent Fan: Exhaust above insulation
-------------
----------- ------------------------------------- ---------- ---
___ 36. _Condensate Drain & Overflow: Size & Grade
-------------
37. Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet------------------------------------------------------------------
38. -Attic Access & Platform if Furnance in Attic
-
-----------------------------------------------------------------------------------
Date Card B -t Date Card E-1
--------------------------------------------------------------------------------
Date Card B-1 Date Card E-1
Date FRAMING (Plans) OK except ti's
39. Sils. Proper Material & Anchors
------- -------------------------------------------------------------------------
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
----------- -------------------------------------------------------------_--
41 Bearing Walls over Girders & Floor Nailing
-------- -------------------------------------------------------
42.--Draft-Stop-in- Walls (rat proof)
43. Fire Stops_ Furred Ceilings -Stairs -Chases -Tub
- ------------------------------
44. Headers & Beam -Size & Bearing
tingle & Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights- Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except ti's
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage, Above Floor -Ducts -Meth. Protection
--------- - ---------------
64. Bedroom Exiting
-------------------------------- ---
65. G.F.I. & Bath Fixtures & Tub Access -Spa
------------------------------
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
--------------
67. Stairs & Rails
---------- -------------- -------------
68. Fireplace or Stove: Clearances -Hearth
------------- ---- ---------------------
6J. Elec. Outlets at Wood Panel: Int. & Ext.
-- ----- - - -- - ---------------------------
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
71.-Elec. Outlets & Receptacles at Kit. Counter
--------------------------------------- -----
72. Garage Fire Door: Swing -Landing -Closer
------------ ------------------------- -
73. A.C. Duct in Garage -Damper
74. Wt r. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
--------------
--------------- 75. Plb__Elec &Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
---------------------------------- ----
7 Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco: Brown -Finish
-------------- --
82.
82. A_C_Unit Disconnect. Electrical, Plumbing
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
-- -- -- ---------------------------------------
84. Water Well: Disconnect, Electrical, Plumbing
------------....----------------------- --- ---
85. Exterior Elec. Trim: G.F.I. Receptacle -Underground
------------ - -----
86. Ventilation Throughout House
--------------------------------
87. Glass Protection
88. Corrections from Previous Inspections
- - ---------------------------------------- ---
89. Gas Test -Meters Tagged; Gas -Electric
----------------------------------
--------- - ---------------
90. Water -&-Sewer Connected -C/O to Grade -HD Approval
-
91 Energy Compliance Certificate -Other Certificates
--------------------------------------- --- --
Date Card B-1 Date Card B-1
------------------------------------------- ------
Date Card -B-1 Date Card B-1
----------------------------------------- --
Date Card B-1 Date Card B-1
Comments at Final_
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
` 747 Elliott Road, Paradise, CA - (916) 872-6307;-•,;
CORRECTION NOTICE
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 notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please co tact Ithis office immediately. !
I L.i �l %� / a --c- 9 7-f-) Y— i /-k/T—
b '
w 4
f
KLA.. L•
1
i
Date Inspector
REV 11/81
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
AA
ASS. SQCEL NUMBER
r
ZONING AR
BUILDING PERMIT
o wl//irrEl"anj Shearer
jWPffff
SQ. FT. OCC. BUILDING VALUAT N
280
OWb%+8 O1dN�leeEwy, Oroville 95966
CO TRACTOR'S NAME
�wner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION ENDER
D
UNKNOWNone
Total Valuation $
Filing Fee
$ 1000
LENDER'S MAILING ADDRESS
Permit Fee
$$ 74.50
A None CT OR LV ;INEEP.
_
LICENSE NO.
Plan Checking Fee
Energy Plan Checking Fee
n
$ ;37.25
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
5648 Old Olive Hwy, Oroville
Permit fee
$ 121.75
PLUMBING PERMIT Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ak Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I STEW W
10.00 ea
TYPE OF WORK
New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: new garage- attached
Permit Fee
$
ritractor.::• " 1
�`ELE&T-A CAL PERMIT
Filing Fee 10.00
Main selvie°, Dov oR LESS
00 AMP OR LESS
10.00
Main se Vlcet EA, 4'DD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER
and Professions Code and my license Is In full force and effect.
License No. Classification.
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ontract-
ors.(Sec. 7044)
ors.
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST.' DWELLING o OP.a) YzQsgft
OR .DONS. ACC. BLDGS. '
NEW R. MULTI-OUT
NON.RESID. BRANCH CIRCUITS) 2,50 ea
APPARATUS el
(SINGLE OUTLET CIR. /
(( 20050`
Ex. QCcup(OUTLETS OR FIX ;RES .2.,030
FIXED S LNSI'lu.
EX. QCCUp. OUTLETS I RESipr, TEA.) 2.00
Temporary service ,•� 10.00
Mobile Home Facilities.. . 15.00
Misc. �Virin 15.00
9
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Penult Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. 1 agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
a ai st said County i use ence of the granting of this permit.
X Date �'—�7
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Insp ction Fee $
I acc
C NS TYPE
TOTAL F E $
-
143. ,25
HAZ.
I CUA-
PARK
I SCHL
I V
CDF
_
I PAR
PD
I H .
ISS
This permit is hereby issued under the
sions of the Butte County. Code and/or
work indicated above for which fees
DIRECTOR PUBLIC
By
PE T EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
ate s�z4% 9/
v�r
93666/143.25
eceipt No.
NITC-D.P.W.. YELLOW -AS eCe SO R, PINK -INSPECTOR. GOLDENROD -APPLICANT
F
A
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -.TELEPHONE: 916/538-7541
PERM ITA 0LICAT,ION'DATA SHEET
1 '+. Permit No.
N
JVS he,49 72 —06'— Z f
OWNERo. -7 /
Proposed Building Use Nt°W Pe -1 /5A K^-69 Building Inspector Date 5—�/�
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation '
instructions.......................................................
10. Fees of $
11. Chico Urban Area fees paid .......................................
12. Park"fees paid ....................................................
-,13. 1 Scho District fees paid ..............
0 Sanitation approval from O/ZHealth Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City -for other requirements)
17. Planning approval for (A) Use: (B) Parking: .
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: _L/ Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Applicant Date 5 —1-7
Copy of Hdz-Mat form sent Health Dept. Fire Dept. air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By.
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by .date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by Date Plans approved by o . D Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO Buildinq Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
_..�!
Ownet Location AP#
Plan Approved for: Sewaqe Disposal Water Supply
Hold final for: Water Supply
Final clearance O.R. for: 0 Water Supply
Clearance for otherC�x�4-
Sanitarian
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) aAV 6- signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4
4. .I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address . Phone Type of Work
Signed
Property Owner
Social Security Number
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 95965 - Telephone: 916/536-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
Z: 0"2
ZONING
BUILDING PERMIT
OWNER n*J ��
TEE EPHOHE
(7p�-3v
S0. FT. OCC. BUILDING VALUATION
a
OWNER'S MAILING ADDRESS /
(oclov lbie
V1rOR'S
CONTRA5T70
N�E
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LEN E ,.o _
'/tv6
UNKNOWN
Total Valuation $
Filing Fee $
10.00
LENDER'S MAILING ADDRESS
Perri! Fee S
D
ARCHITECT OR 'cN:;INEER
LICENSE NO.
Plan Che, -king Fee $
.Z
Energy Plan Checking Fee $
'
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS i S6 ,
l �
Permit fee $
2 J 15
PLUMBING PERMIT Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF,�2' Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G W
0.00ea
TYPE OF WORK
New❑ Addition] Remodel❑ Utili/ti�ssEJ,_1nst Ilation❑J Othe ❑
Describe work:
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 8011 OR LESS
100 AMP OR LESS
10.00
Main service EA. AOD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license Is In full force and effect.
License No. Classification.
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCC P.EI
OR ADONS. ( ACC. BLDGS.
�
I,esgft ' 1 50
NEW CONSTR MULT "OUTLET
NON.RESID BRANCH CIRCUITS)
2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20050t
eALe 3o
Ex. Occup. OUTLETS PFIXED APLNS R
IRESID 1EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ sC7
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
i
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 Count of Butte against
9 y p y g
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ I
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in hei t.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
l
TOTAL FEE 6 3r2�
ViA2.
I CUA PARK I SCHL
I fLD
COf
PAR
PO
i HD.
I ISSUE
This permit is hereby issued unaer the
sions of the Butte County. Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
'>
Receipt No. qSW '
WHITE-D.P.W., YELLOW-ASBE730R, INR-ECTOR. GOLDENROD-AP►LICANT
�xaSTi�IL, 5��3
roR [�ot�OSED
aZ,Ac� F ADDITION
OF ST2£�T•
Wo 0 s iF
54�ER RE2
.,.�t�� .
��- ..
56�I8 Ord OLIV& 4W
i
'd
SEprm CNK
37
( 4 �, � O SP •
�gm��
CD
6 µ
G � O.O
to
oa
00
/1 0° nCD CD
Q'
O
W.
i2 tr¢r✓ S��n��
r
o-Rg /a yew
p�.Afuo,�
W s -
AC aCows a= v
--• �_
-�}'l�eyl� 1f EA►�ER�i
;eat
W,5,;Z �6a(-1
'�/t 2 P irc to
to kTC14 F'A l srmn -�
F
5(�y$ OLD LOL�f Nwy
• 5 c��E = l
WOOLAL Rte COVEMNG REOU RED.
141, A
3 'Provide approvea Yiaslut,g at all exteries
openings, typical.
.`5,,0
� V
RTMET
. � � .EPA z•
, FIN. a3o,, �V//
C-�A1Z�C�E Rt'»�TIoN '
5��ss 0L -p or_rvi:
- 0 3• I ,�
3!
0
. � MpSrFZ $6DRooM
WtN0oW 'ro 8E RC-MevED
LRu11DR ooK
WINDOW Te gE REn�nVED,
AND REPLACED vWITFF (MASTER i3EDRODI� HRS
a1 b^ pO°R EYct5T(nty 5L)DIR6 (xLA55 DOOR
(LAJNDRq Room NRS TV Ov'is iDE IN (SACK CF ROVS6)
. jjeoR To OvTSIDE.Du FRon�P
OP NOOSE)
sr�E ELEVATIONI
C L7xI571Nu House-
C� PSC-, E
�L-0nrp-,
Ce
.
C*?
° x IO' /2 of 1. UP .DGo.k
NJ
CD l(v0"
60
oo�a
House 5
KA5rE2.
60Rrt
t X�57l�(C,
wA�
�9 ( 90%4zF/kr RAT�U
5HIM,r Roc.K
�a
lr V"40 ones -protection on..TY P 1 cA V ' a
gauge side of common wall
together with self-closing 13AO
t21ok solid -core door. I? lad r fa y
.. I HOOK FIRE RNTVV Dooe
GFC.1s in kitchen, bath$oo aree$s�
exteTlor outlets per Art. 2 -
o cP ou VC Ow
SCAM I I
7
J�
31CI-1—
4XI,�
axe
-5T\)DS
%. IV O.C,
'AFRox II' I6114
$60t)CE'D RT V
EA16rIN��
To FE SET It
toNaverr�
�xiSTiNb lTlP►c,�� c
10.4 QDSr �yidu2� Cdr hrdGioi S �,or�2G� '
Gdv�- Ae � �'' i %te5 C�60 t/Pi �i4V4j
.: "15'rI j" �-
OIV
'oc /0 4nc/ior 60/5
rf o /h TD t�ONCr ft
C�G'c.G,iLlcx,�.
ic2�ilJdvd Or'
P�essvr� Tre�fed I - ,Q,,y�rir�,•r
t X 7�er/or lr•-v�P ,/
Mel 11.1
x�•e�,o� waLtwcoo'F/oc�/2k%n^�
• F/Bosom S s7lt..,, �'X ar bo/ /
`7/r 4 w,fliip /2``�Kl 6•�S
d2Y g
�Ree%w000/ oe edl
u fbst
Per 7 eof
eol
Z ,v1 ,P2 32
Ww0c c� Cr t
,cls., �
11 Ex�C✓/or �rodP vn dti s�o6
/�r•BSsvr� %rPaTeo/ �
3lock L
Preoot� /pier Sof �,
jn► o toot 4.
6"A4, h 8
U<<�JNQ 1 UNrY
�15oo7,Ny �qRWFIV'r
'4 P p R-�E-I-Q/CP. kAJ 4t.L
�NTBR/O� Pi�iZwoo� F/0a2�
I -
RESIDENTIAL
72-08-21 229-90B,P,E
E
DeLABY, Richard
5648 Old�Olive.Hwy, Oroville j
(GARAGE CONV:) �!
• I
. a
JOB FINALE
Signature
0
J=OK
O = Not OK
Not =
Not Readyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer: Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg -Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
'8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -En closu res -Pane I boards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
7. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg -Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
'8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -En closu res -Pane I boards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
O=Not OK
- = Not Applicable
= Not Ready RESIDENTIAL (Single
& Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning -Setbacks -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel- Blockouts-Wrapped
50. Garage Fire Protection Framing
6a. Hold Downs and Special Anchors
51. Property Line Firewall & Openings
7. Slab; Steel -Wrapped
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
8. Piers -Fireplace Ftg.-Steel
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
10. Gas Pipe; Size -Anchors
55. Siding -Nailing Veneer
11. Water Pipe; Test -Anchor -Regulator -Service Test
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
12. Electric; Underground
57. Glazing Area -Glass Protection -Skylights -Plastic.
13. Pienums & Ducts; Clearance -Material -Support -Ins.
58. Shear Walls; Nailing -Bolts
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
59. Insulation -Walls -Ceilings
15. Insulation
60. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Date
Card B-1 Date Card B-1
16. Water Htr.; Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchor -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
Date
Card B-1 Date Card B -i
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
Date
Card B-1 Date Card B-1
67. Stairs & Rails
Date
ELECTRICAL (Permit) OK except #'s
68. Fireplace or Stove; Clearances -Hearth
22. Fixture & Transformer Clearance -Ins. Protection
69. Elec. Outlets at Wood Panel; Int. & Ext.
23. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
24. Size Boxes & No. of Conductors -Stapled
71. Elec. Outlets & Receptacles at Kit. Counter
25. Romex Installed Close to Edge of Studs & C.J.
72. Garage Fire Door; Swing -Landing -Closer
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
73. A.C. Duct in Garage -Damper
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
75. Plb., Elec. & Mech. Equip. Listed for Location
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 0 Yes ❑ No
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
30. Service -Riser Conductors & Ground -Main Disconnect
78. Guard Rails & Deck Construction -Post Caps
31. Equip. Clearances Panels-Motors-Mech. Equip.
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
80. Following instld.; Drive ❑ Yes 0 No; Walks O Yes 0 No;
Planters ❑ Yes 0 No
Date
Card B-1 Date Card B-1
81. Stucco; Brown -Finish
Date
Card B-1 Date Card B-1
82. A.C. Unit; Disconnect, Electrical, Plumbing
Date
MECHANICAL (Permit) OK except #'s
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
34. A.C'Ducts Insulation & Support
84. Water Well; Disconnect, Electrical, Plumbing
35. Vent Fan; Exhaust above insulation
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
36. Condensate Drain & Overflow; Size & Grade
86. Ventilation Throughout House
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
87. Glass Protection
38. Attic Access & Platform if Furnance in Attic
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
Date
Card B-1 Date Card B-1
91. Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #'s
Date
Card B-1 Date Card B-1
39. Sils, Proper Material & Anchors
Date
Card B-1 Date Card B-1
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Date
Card B-1 Date Card B-1
41. Bearing Walls over Girders & Floor Nailing
Comments at Final:
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
each time you visit job site)
(NOTE: An entry must be made
• . ] Y -moi �`'. t. ^r�s-F-•y-r ...rnr--�?'-�`'.r �i'Q`^�f���.'YCY"'s:�1i4..,�� i _ ~ __��^"'_
4i=••: "_�, �il'L'�. sir 3�.•
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541 ='
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
m2oZ�—�D.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector / Date ,2
TO Buildinv Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
I R-1 tie 0_0 0,1
Owner Location %/ AP#
Plan Approved for: Sewage Disposal Water Supply:
Hold final for:
Final clearance O.R. for:
Clearance for bedroom mobile home. 0th
Da
NOTE * * *
Sanitarian
Water Supply
Water Supply
to
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/53 7541
APPLICA 10N A►HD PERMIT —L J—
ASSESSOR PARCEL NUMBERZONING
.�
BUILDING PERMIT
OWNER
Qv
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
-G i - -/
OWN I ING ADDR 55
ns
CON_ T�'S N E
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00,,,-
0 00Permit
LENDER'S MAILING ADDRESS
PermitFee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
Energy Plan Checking Fee
$ !
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS -/�
15912 (�f
Permit fee
$
PLUMBING PERMIT
FiIingFee i-00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PAR EL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10 .00,2
TYPE OF WORK
New f_1Addition ❑ ReemAodel ❑ Uti lities Install do ❑ Other 4
Describe work: C-74 { 1(96- GUNO,Contractor
.4
Permit Fee
$ '�
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under p y p I y (check one):
penalty of perjury )
❑ 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
as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP
OR AODNS. ( ACC. SLOGS.
2'�2QSQft
NEW CONSTR. MULTI -OUTLET
NON-RESID BRANCH CIRCU ITS
2.50 ea
/POWER APPARATUS R1
%SINGLE OUTLET CIR. I
EX. Occup OUTLETS OR FIXTURES
,220 00030
930
Ex. Occup. OUTLETS FIXED P(RESID )LNS REA.)
2.00
Temporary service
1 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.
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
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
again sai¢ County in copse ence o the granting of this permit.
X Date 9 61
Signature of Applicant — Owner Can ractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONSTTYPE
TOTAL FEE $ Y
HAZ
cuA
PARK
C
FLD
H
Is E
This permit is hereby issued under
sions of the utte County Code and/or
work Indic d abo a for which
I E O PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
—
Date d v
Receipt No. 62:5
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT��OF PUBLIC WORKS - BUILD G DIVISION -
7 COUNTY CENTER DRIVE - OROVILLE, t 4l F( RNIA 95965 - TELEPHONE: 916/538 7541 ,
PERMIT APPLICATION DATA SHEET
i'. Permit No.—
OWNER
o.
OWNER(�����2�1 A. P. No.
Proposed Building Use Building Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and talcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $
11. Chico Urban Area fees paid .......................................
12. Park fees paid ...............
School District fees paid .
Sanitation approval from —40ZCD Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy) `
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone �W — 1,2 and hold for pickup at office. Deliver w/inspector.
Other
Applicant ,�,,,�(/ 4 Date
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_—nail—counter by .date
Contractor, designer, owner, was advised of above required data by—phone—mail—cter by date
Plans checked by Date4���_ Plans approved by Date
Sets of plans on hold in . File cabinet AP folder
Copy—DPW
0
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
( One Formper Suildirig )
A.P. Number �"� , Building -Department No.,
School District( — �L��. City D County ® Jurisdiction
Property Owner
Project Location/Address ;��� ry-N (q/�l/c- rNEJ-1
-e�,
Subdivision Lot Number
Residential Development:`�
Sq. Footage
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: a Sq. Footage
New, Addition (Including Exterior
Roofed Areas)
'�... tuilding, bepartment R,e'fplVessent ative Date
(Floor Plans reviewed,by School District Personnel)
District Id No. CU'7
I V.(.�i4� �XO�rrc Pic, School District certifies that
(Applicant Nan ) (Phone Number)
(Street Address)
City) (State) (Zip
has complied with the requirements of Resolution No.�
by the payment of $ / y l representing square feet.
/School Distri,c/t/Representative Date
PAID BY CHECK NO. REMARKS
U l�
BANK NO
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
COUNTY OF BUTTE - Departoeft of Public Works
7 County Center Drive, Orovil,le, CA 95965 Phone: 916-538-7541 '
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unne:essary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the rhajor labor and materials for construction of
the proposed property improvement '(yes or no)
2. I (have/have not) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
.Name
Address City
Phone Contractors License No.
4. -I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner `RJ✓v� ai
Social Security Number
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and.returned to our office before we are per-
mitted to issue the permit.
FOR A 7
ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY.SHEET
PACKAGE "A" (Additions)
Owner /�/ (', Cr G// %/,o (l �/ Climate Zone
Permit # F1oor'Area
The following data showing mandatory and required features of Package "A" shall
be installed for additions to dwellings. Additions to dwellings include room
additions, converting garages and patios -to living areas, house moves that add
footage and attic conversions, and any space that is existing non -conditioned
space that is converted to conditioned space. Remodeling of existing conditioned
space is not included.
ZONE 11
APPLIES TO NEW AREA
"CLNG R-30
WALL R-11
FLOOR R-11
SLAB R-7
GLAZING U-.65 (Dual)
SHADING
SOUTH - OPTIMUM OVERHANG
or ..36 Shading Coefficient
WEST - .36 Shading Coefficient
LOOSE FILL•INSULATION (Density)
ZONE
(Dual)
INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking)
VAPOR BARRIER (Zone 16)
DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10
.LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 16% OF -AREA PLUS REMOVED GLAZING
NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN
CONJUNCTION WITH AN ADDITION'SHALL BE INSTALLED AS SHOWN ON BACK
OF THIS SHEET:
OTHER
9
i'
12/85
,j
*1 HEATING VENTILATING AIR CONDITIONING SYSTEM
(A) Heating
❑ Central Gas Furnace
(brand and model number) SE
Btu/hr
(heating capacity)
❑ Heat Pump -
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
❑ Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
rated slope
❑ Other
(describe)
*1 (B) Cooling
�] Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
❑ Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95°F)
❑ Other
(describe)
DOMESTIC WATER SYSTEM
❑ (A) Gas Only Gallons
s - (brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
13 Active Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑ Location of Solar Panels
❑ Other
(Describe)
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(8), and fill out the
following:
Heating: Winter design temperature °, elevation ', heating load BTU
elevation factor x heating load a maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature °, cooling load BTU
*2 Submit T.I.P,S.E. chart'or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
KAIGNATURE�BUI SIGNS OR �APCAM_I
NOTE:—All Materials & Workmanship Shall Be in
Accordance with Recognized Good Practices and
of a duality prescribed for the Specified. use in +h®
Uniform Building, Plumbing & {Mechanical Codes and
the National Electrical Code.'
This set of plans and specifications MUST be
kept on the job at all times and it is unlawful tc
make any changes or alterations on same with-
om t� Department of
out writt P�riJ'gs1j?j gu#te. �rj YA
Public Works, County
'
'
1
I
I
I
a
SSG°
rsa`�
Ad
Providg bedroom window with minimums 0 3
open dimensions of 24" high, 20" wife,
6•7 sq. ft. area, and ¢� 4.41, maximum sill
D W mg- %
6-. 5 (-f
'2'2
BUTTE COUNTY
s
EUIL®JNG ®EPART M
�'p e,Q ��(� � e
Door --.Over 'HCA ° G�c'�ROVE
I
i
J1
1
a
;
o
�
t
z
rsa`�
Ad
Providg bedroom window with minimums 0 3
open dimensions of 24" high, 20" wife,
6•7 sq. ft. area, and ¢� 4.41, maximum sill
D W mg- %
6-. 5 (-f
'2'2
BUTTE COUNTY
s
EUIL®JNG ®EPART M
�'p e,Q ��(� � e
Door --.Over 'HCA ° G�c'�ROVE
I
i
J1
1
PERMIT NUMBER - B 238-73B
P
k
• ll
E
PERMIT EXPIRES `"0 a
OWNER Paul Corley
CONTR: 0. W. Clinkingbeard, Oroville
LOCATION (A.P. 37-56-21 )
s1s Olive Hwy. 350' east of Mt. Ida Rd., Oro.
� s
i
:�
`. �•.
v� ° � �
COUNTY OF BUTTE
Department of Public Works
BUILDING INSPECTION RECORD
Zoning
Setback
Foundation
Piers & Girders
Rgh. Plumbing
Bond Beam
Rein. Steel
Gas Piping & Test
Framing
Plmg. Topout _
Wtr. Htr.
Furnace
Firewall
Garage Vents
ELECTRIC
GAS
Temporary
Temporary
Final
Final
Forms
Fireplace
Lath & Plaster
Found. Vents
Rough EIec.*,-A - 0 —!S'
Kitchen Vent
Sanitation & Water
BUILDING
Cert. of Occup.
Final :S —,/ -3 2
DATE REMARKS OR CORRECTIONS
El
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephoner 534-4541-
APPLICATION
34-45/1APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date 3
Signature of Permitee or Agent
Receipt No.—
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
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.
DIRECTOR OF PUBLIC WORKS
Building Permit Expires Date
BUILDING
Owner
SO. FT. OCC. BUILDING VALUATION
Mai I in ddress
Fireplace
Contractor \
Total Valuation
Mailing Address � /
Permit Fee
Plan Checking Fee&/or Penalty
'
Permit F,ofee
$
$
Building AddressZ�Zl_ ^—
PLUMBING
No.1
@
FEE
PERMIT FILING FEE $2.00
e/
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.
Zoning
Gas piping system 1 - 5 outlets
.1.50
Each additional outlet .50
Fir one
Fire Dept.
Sanitation
Planning
Building sewer 5.00
P I aW
Fees
W. C.t/
R/W
Encroachment
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ OTHER ❑
Permit Fee
$
$
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
3 �=
0
Main service incl. 1 meter
Additional meters, each
1.00
USE OF STRUCTURE Single Family Duplex ❑ Others ❑
Sub -panel (12 or less) (more than 12)
Range, dryer or water heater 1.00
Oven, Cook -top or space heater
1.00
Light fixtures
Receps., switches & fix outlets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
5,e - ti .4�- �Ae £/�GTIZtC4/ C'pq fn, ,A.
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Misc. wiring r
License No. 203L1 S--( Classification �-1 C)
❑ i am exempt from the Contractors License Laws of the State of Cal ifomia.
Permit Fee
$ 0
$ 8.--
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor"
Code which requires every employer to be insured against liability
for Workmen's Compensation.
have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.1
@
I FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
Permit Fee
$
$
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
i�sstrumentationr`�n groo^ion $0.07/$1000 Evaluation
$
TOTALY PERMIT FEE
$ "=
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date 3
Signature of Permitee or Agent
Receipt No.—
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
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.
DIRECTOR OF PUBLIC WORKS
Building Permit Expires Date
COUNTY OF BUTTE — 'DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Orovi Ile, California 95965 P73
Telephone 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X at =
Signature of Permitee or Age
Receipt No. 4-7O
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
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.
DIRECTOR OF PUBLIC WORKS
By Date /—a0 —7 �
Building Permit Expires Date% c3 7
Y
BUILDING
Owner62
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng AddressZ
el
Fireplace
Contractor ebto
Total ValuationO
Mailing Address
Permit Fee
PI an Checki ng Fee &/or Penalty
Permit Fee $
$
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
`
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. �— �� C
Zoning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .50
Fire Zone
Fire Dept.
Sanitation
Planning
Building sewer 5.00
P
Fees
W. C.
R/W
[Encroachment
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ OTHER
Permit Fee $
$
f�
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
USE OF STRUCTURE Single Family Duplex ❑ Others ❑
Sub -panel (12 or less) (more than 12)
Range, dryer or water heater 1.00
Oven, Cook -top or space heater 1.00
Light fixtures 20025
Receps..,.s,A44ches & fix outlets b
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of: a f
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Misc. wiring
License NoA! —92 Classification
❑ i am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
DI have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
F1I certify that in the performance of the work for which this
permitis issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Permit Fee $
$
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
$tate Fee for Strpng Motion $0.07/$1000 Evaluation
IInstrumentotion Program
$
TOTAL PERMIT FEE
rQ-'
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X at =
Signature of Permitee or Age
Receipt No. 4-7O
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
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.
DIRECTOR OF PUBLIC WORKS
By Date /—a0 —7 �
Building Permit Expires Date% c3 7
Y