HomeMy WebLinkAbout072-190-03272-19-32.. —_ -- 72-19=32
ROBERT BRA GA CRAIG ROBERT BRAGA
NIS Hurleton Rd,150= E of Forbes N/S Hurleton Rd, 150 E of Forbes Rd
Agricultural Bldg Exemp. #45-82-A
a town Rd, O�v�i-rle ( Rabbitry)
Contr: Deb Pump
## 012-8 P E ( em -p e for
-i1� & ui to det7 j 72-19-32
Permit#111-87A(Agricultural Bldg Exemp)
72-19-32
A.J. BERWICK
t 400' off N/S Hurleto d s of
Forbestown Rd, Orovil
Permit#2775-84B,P,E,M new 'ngle family'
72-19-32
i
9269 eton Road, OroviBe
Contr: Dun oust
Permit#612=85P,, til, MH)
ELEC .�1� Ar FGL. 3
GAS iib �A4
SUPPORT STRIXTURE REQ D
.,OMPACTION TEST REQ_/VO
72- -32
Contr: Feather`Ri Homes, Y.C.
Permit#768- 5 II a
Issued
{
f
i
0
J
0
r
KE S 1 Ut N I IA L :8U/ L UINU KEGUKU PARCEL J 7_
ADDRESS ra SHEET OF ? SHEETS
` , "a'i �,� o✓Y'� DESCRIPTION OF BUILDING i49
CLASS B SHAPE
CONS'TRUCT/ON
STRUCTURAL
EXTERIOR
ROOF
LIGHTING
AIR CONDITION
Unit
ROOM AND FINISH DETAIL
C t� (w
Light
9----......
Sub - stondord
Frame
i� ...- ------.
�_ • cE y
Stucco on
----
Flot a Pitch
Gable 14
WiringHeating
-
,K /LT. I Conduit
9 Conlin
Forced tenni
ROOMS
FLOORS FLOOR FINISH
- TRIM
8 1 '1 Material Grode
INTERIOR
walls
F'fISH
K
Cei/in `s
ARCHITECTURE
Stondord —_
Sheothing
Siding
Hip' /
JBX
I lCoble
Cro,dy Humid. All
m, P
t -v
G-cJ f3
Above-Stondard ConcreteB/ock Shed / Fix lureS Wo//Unit
�Slories
Specio/
8.8 B. T. B G
Cul Up
Few y Cheop
Ent. Holl
j1
USE TYPE
Brick
Shing/es
-Dormers
Avg. Medium
F/oorUnit
Living
'
_
s_nyie _ —
FOUNDATION
Adobe
Shakes
Mony I JJpecf;71
Zone Unit
Dining
I
Joub/e—_ —
Concrete
F/oor.Joist:
8.88. T. BG.
Gu/ters
Central -
Duplex --
Reinforced—
lit r 3,'X E_-z.y'
PLUMBING
Bed
NORMAL GOOD
Apartment
Brick
2"d: 'X -
Brick
Shin /e
Poor 1 1600d
S' 'Tp ✓
Bed
Fiot--
Wood
Sub Floor
Stone
Shake
O1/Burner
_
Court
Piers
WINDOWS
rile
Fixtures
Mole/D.H.
VICarement
Tile trim
X 6Yo/erHeater
M.-B.T.U.
f
i
—
— ---- — _
Insulated Ceilin s
Slee os
Composition
Au/omolic
Fireplace
Kitchen
✓.pits
Light Heavy
Insulo/ed Nolls
Screens
Compo—Shingle
Gos E/ecf.
DrainBd.
Moferio% 1671h: fl.
I Splash:
— CONSTRUCTION RECORD . EFFEC. APPR.
_ Permit YEAR YEAR
No. For Amount Dote
NORMAL % GOOD
Remoin
Age 9 rob/e ^/o
Life
RATING
Cond. Arch. t:unc.
gtlr. P/on
(E,Oi,A,FP) 1 114",
Co$- Stora espoce Work- 'Pl.
form. CuobldjCloset h ip
BATH DETAIL
N.. FINISH FIXTURES SHOWER
f/oars Wo//s t Lajrvbj Type Grode/. D. Finish
Unit
wM71
SPECIAL FEATURES
Book Cases Builf-in Beds Venetion Blinds
SAu//ers
KCROFILMED , ''COMPUTATION
Appraiser Date
Unit
wM71
NORMAL GOOD
- e
A N .5.3 n - A e1 &O11 rs ro 7 n .'.r• 4 I'll ./
Y\
Mnil Address
MOBILEHOME BUILDING RECORD
PARCEL N0. O7Z` (
SITUS Z at;z
z4X4o TYPE
MODEL
��� WSingle Wide �� Expando
Dovble Wide Tag
[]� ❑
MANUF. Triple Wide Other
EXTERIOR ROOF STYLE
..� . rr� • U
QUALITY YEAR
CLASS BUILT
J
/•S �� 85
SKIRTING
ROOMS
Descrip-
tion
Entry
1.10 SR-Tp`� t1 -u �S KITCHEN FEATURES
FLOOR NO. OF •
MAT'L PLB• DESCRIPT
No. FIXT'S 73�
Alum. Panels
Arched
Alum. Panels
Mosonite Panels
FA at
Alum. Shiplap
Living
t
Alum. Shiplap Siding
Decorative Stone
1, Gable
Cut UpFiberglass
Masonite
Dining
Family
I
Other
Pitch: L M H
Brick or Stone.
Great Rm.
■
Exp. Fasteners
O'Hang err b(
Other
Den
WINDOWS
ROOF COVER
HEATING
.')inimum
Galy. Iron
Forced Air
Bedroom
Z
Tract Size
Enameled Steel
Downflow
Dress Rm.
Picture
Asphalt Shgl.
iA Upflow
Boy
4r Compa,
Wall or Floor
Both
Z
Slid Doors
Lin. Ft.
INSULATION
Gravel, Rock
Other
FOUNDATION
Other
Set-up For A/C
COOLING
Bath ?14
Bath %
µ081LE HOME RATING (E.G.A.F.P.)
Ovality Condition Appearance ConForm Location
Floor R•
Walls R•
ermanent
Piers
Refrig. H.P.
Heat Pump
Kitchen
Bonus Rm.
I
_
PARK RATING (E.G.A.F.P.)
Ceiling R-
Tie Downsa
Thru Wall
Utility
`
Overall General Recreation Overall
Eyap. Cool
Location Appearance Facilities Quality
TOTALS
DESIGN
YEAR TYPE CLASS
EFF. DEPR. SQ. FEET
YR. TABLE MAIN IMP.
R.C.N. R.C.N.
MAIN IMP. TOTAL
GOOD R.C.L.N.D. TD De Good
Cr
R.C. L.D. APPRAISER DATE REVIEWED DATE CK
UNIT
�2vr,S 11 21 19 05
UNIT
AREA COST COST
AREA CUNIT OST
19
COST
19
UNIT �
AREA COST COST
19 19 -
UNIT UNIT
AREA COST COST AREA COST COST
Mobile Home
124,40 22 Al302
-
Air Conditioning
54\L-—�
Evap. Cooler
Dishwasher
Bar
Skirting
Other
TOTAL R.C.N. MAIN
Carport/Porch Roof
Porch
Storage Shed
SUB -TOTAL R.C.N.
Deduct (Singlewid.$)
\3Oz
`TOTAL R.C.N.
l
CIA C A.A.an
PERMIT NO. Q
a PERMIT EXPIRES
OWNER ROBERT BRAGA
CONTR.. Dunn Construction
ASSESSOR PARCEL 72-19-32
LOCATION 9269 Hurleton•Rd, Oroville
ti
l
;i
Temp. Power Pole
Called PG&E
Temp. Elec. Service '
Called PG&E
'j
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
%I = OK ) l
O = Not OK J
— = Not Applicable MOBILEHOMES .
= Not Ready t r`
MISCELLANEOUS
Date MOBI OME UTILITIES (Plans)°OK except H's
. Zo Requirements,-Setbacks—Easements
(Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except it's
1. Zoning Requirements—Setbacks—.Easements
S 'Is; Special MH Support—Sketch
2. Footings; Size—Depth—Spacing—Connectors
Sewer; Loca ' n—T%.-.,--!�Fall- Concrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
Wal9r; Location—Test—Easement Needed (Sketch)
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
G ;'Location—Test—Wrap: / /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
I
6. Carports; Windows—Doors
tility Clearance
7. Elec.
II
Card -BI Datel�a�eCard-BI Date
yCard-BI
Date Card -BI Date
Card -BI Dat Card -Bl. Date
Date MOBIL OME INSTALLATION (Plans) OK except N's
Card -BI
jDate
Date Card -BI Date
POOLS (Plans) OK except N's
1 ng Requirements—Setb cks=Easements
1• Setbacks—Easements
Foo ings; Size—Spacing arriage Line
2. Soils; Compaction—Structure Stability
3. as• Test—Demand—Valve—Connector
j
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Iectric Te%,-'('rossovers—Breakers—Clearances
4. Elec.; Receptacles and Lighting; Distances—GFI
2 5. Drai all—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6 ater• H Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. ter and Sewer Connected—C/O to Grade—HD Approval
7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8 and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
its; Insp.—Sketch,
0. ert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
`Card -BI
Date Card -BI Date
Card B -I Date Card -BI Date
Card B -I Date Card -BI Date
Date Card -BI Date
_gCard-BI
J = OK
0 = Not OK
= Noidle
* = No[t Ready RESIDENTIAL (Single and Duplex)
Rea
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
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
Date Card -BI Date
FINAL (Plans) OK except q's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except q'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
Date Card -BI Date
ELECTRICAL Permit OK except q's
66.
Elec. Outlets & Receptacles at Kit. Counter
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
22.
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. & Mech. Equip. Listed for Location
23.
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic ❑Yes
25.
2 Appliance Circuits in Kitchen &Conductor Size
73.
Guard Rails & Deck Construction -Post Caps
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 ❑ Yes
27.
Range Circ. / / ga. Cu or A[ -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive C] Yes ❑ No; Walks [I Yes ❑ No;
Planters ❑Yes ❑No
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 Opn s.
79.
80.
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except k's
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
86.
Water & Sewer Connected -C/0 to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI 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 q's
Comments at Final:
36.
Sills; Proper Material & Anchors
37.
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.
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
43.
44.
45.
Cing. Joist-Rftr. Ties-Purlin- Roof. _Brac.-Truss-Shthnq_.-Rfn_g_._
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: Anentry must be made each time you visit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 89�-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTIC-F
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.
Mr
IMPORTANT MESSAGE
FOR� A.M.
OATE TIN/IE-P-M-
m
OF
PHO'NF= NUM--- 7
AREA COOE
TELEPHONED PLEASE CALL
CAME TO SEE YOU WILL CALL AGAIN
WANTS TO SEE YOU RUSH
SPECIAL ATTENTION
PRETURNED YOUR kCALL
TL
SIGNEO
jINS��
LIITIHU 13�01u.S.A- Co., IN
Top 02-P Is H. S. CROCKER
t ..
b"�
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
Address or location of mobilehome
Owner's name
Owner's address
Insignia or hud number
Manufacturer's name
Serial number of V.I.N.
(Official Approving Installation)
PERMIT NO.
Year of manufacture
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION
AC-- JLTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
513B White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION -ANb. PERMIT
�ERMIT NO.
ASSESSOR PARCEL NUMBER
911 19 _,�in
ZON
� ?;T 4
11-d
- BUILDING PERMIT( Z
OWNR—
0 e__ -t— ra n
TMLEPHONE-
SQ. FT. OCC. BUILDING VA16W<,TIOk/
ow N FR
- 4-9 7Z t 3 e. // C/ A)
CONr)CTOR'S NAME (?
IA VI's I—
TELEPHONE
I %%�
CONTFtACTOR'S MA ADDRESS
6M CO X, iiQ ir 5 k #-
(��UNKNOWN
Fireplace
CON19W_;� �NL END ER
Total Valuation $
Filing Fee
$
LENDER'S MAILING ADDRESS
Permit Fee
$
OR
ARCH[ CT vy _,,;�GINEER
CENSE NO.
Plan Checking Fee
$
Penalty
$
.��Hi`rj(q
ARCHrTECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS 9369 Alkdaom 8ld
PLUMBING PERMIT
Fi ling Fee 10.00
Each Trap
2.00
Solar Water Heater
20-00
n1ro 0
Water piping
5.00
LOT NO.
UBDIVISION NAME
is
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SFEI Duplex[] Mobilehomxx Other
_11--1 SPECIFY
Building sewer ^qolln
5.00
Mobile Home
110-00el 901M
I I t
TYPE OF WORK
New n Addition [:1 RemodelEl Uti lities Instal lationn Other El
Descri be work:
Permit Fee
$
contractor
ELECTRICAL PERMIT
FilingFee 10.00
main service 1100V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&)
OR ADDNS * (ACC.BLDGS.
2/20sqft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
ID I am licensed under provisions of Chapt. 9, Div. 3 of the Bus ness
if
and Professions Code and my license is in full force and e fect.
icense No.:3 !�=41L Z_-Ii&'C I assi f i cation 2—
99111L 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)
EJ 1, " as the owner, am exclusively contracting with licensed L;UIILFdCL-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW_CONSTRL ( MULT [-OUT LET
NON RESID, BRANCH CIRCUITS)
2.50 ea I
NEW.CONSTR. (POWER APPARATUS.&)
NON RESID. SINGLE OUTLET CIR
Ex. OCCUP(OUTLETS OR FIXTURES
20@50c
IBAL@ 300
FIXED APPLINIS OR
Ex. OCCUP- OUTLETS (RESI*D.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15-00 45 -,DC
Misc. Wiring
15.00
Permit Fee
$
Contractor
MECHANICAL PERMIT
Fi ing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I de e under penalty of perjury (check one):
It 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 shal I not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
—Contractor
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 ot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County i onsequence of the granting of this permit.
X Date 7 - 'K5
- — - � � , I — - 14&!f� — — —
Signature of Applicant — Owner 0 Contractor Agent
5, pa
An OSHA permit is required for excavations over U eep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE LZ $
OCCUP. GROUP
I TYPE OF CO.ST.
WPA��
PD
Is E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECt?F PUBLIC
By.
PE"rT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date -3-
7-1
Receipt No. r3 2/ 1+
.1
WHITE-D.P.W.. YELLOW-ASSFSSOR, PINK -INSPECTOR. GOLDENROD-APPLI CANT
COUNTY OF BUTTE - DEPARTMENT OF PIIBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET Permit No.
OWNER — kIN 60 Av�n 0 a . I I A. P. N o.
Proposed Building Use V
Permit Fee Based Upon: —Complete Contract Price DPW Valuation
—Other ( xplain) . I
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 . . . . . . . . . .
Plot plans in duplicate./.triol-ircate . . . . . . . . . . .
3. Complete plans in dup icate-ATiplicate. . . . . . . . .
4. Complete engineered plans and calts . . . . . . . . . .
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 $ . . . . . . . . .
9' Letter of signature authorization.., . . . . . . . .
/�Sanitation approval from e) P -Health Dept.
1111. P lann i ng approva I f or (A) Use: (B) Park i ng:
J/ 0A17_"%Certif icate of Workmen's Compensation Insurance.
1;6:4111� , , 5f
13. Contractor's License Information (no., name style, classif.) .
14. Owner -Builder Verification (Given to owner[], mail to owner F1
15. Improvements may be required . . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . . . .
17. Pre -Inspection for 4 Pre-Inspec. request to
Required- Building Inspector (Date)
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Other
When you issue the permit, process as follows: —Mail to owner. —Mail to contractor.
Telephone and hold for pickup at r2ln office. —Deliver w/inspector.
r 4*
Other
A p p I i c a n t D a t e —3
Copy of plans sent —Health Dept., —Fire Dept., —Other Date
During the plan checking pro—ce-ss,-f—he following data muii—tbe submitted prior to permit issuance;
(For required items not checked above ajLtoe �,ppl*c t n, circle item.)
1. Index permit for above Items No. k -.X —A
2. Additional items required: IV V I
(Contractor, Designer, Owner) was advised of above required data by —Telephone —Mail Other
By— Date
Plans checked by
Plans approved b,.
Other:
Copy—DPW
Date
Date
AP #
9 r7�3
OWNER
PE.Rmrr #
UTIL.CLEARANCE DATE
-
.MH
INSPECTOR
ELECTRIC
GAS
Pipe
4Support
Struc.
Compadtion
Test. eq.
)ervice
Other
YES NO
Uze
Load
Type Size Length
YES! NO
COUNTY OF BUTTE - DE�PARTNE ' �NT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PER IT
C,--� M - �L
rCEX!rBE
ASS7,YR R
ZONING
'SH A�L
BUILDING PERMIT
Lic, �r+ Araoq
TEL:EPHONE
SQ.FT. OCC. BUILDING VALUATION
OWN S MAILINYDDRE
J e.- .1 1 e9 S GO- 16
CONTA O� A E
6, -
-+ ev- Al I' V 86 WA
H
IT
6m-
::T
CONTRACTM16G A11K2
F5 9 -1 tf
Fireplace I i
CON T UCTION LENDER
1 OK,4-
r -OWN
Total Valuation 1$
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCH[ E C T OR ENGINEER
Z 0 VIL 0-
LICENSE NO.
Plan Checking Fee
$ /.5-00
Penalty
$
ARCHT-TECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ JS1. &(9
BUILDING ADD
V- 16- 1,6
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar Water Heater
20.00
le eg V e-
Water piping
5.00
LOT NO.
SUBDIVISION NAME
1
ARCEL MAP
1P
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF[] Duplex[] Mobilehomeq Other SPECIFY
Building sewer
5.00
Mob i I e Home I S I G JW 1
00 eg
TYPE OF WORK
NewF� Add ition [] Remode 10 utilities 0 installation F Other
Describe work:
F-6 i c 4AI U A 1 5—
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00
.�2
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.&)
OR ADDNS. ACC.BLDGS.
2'/20sqft
CONTRACTORS LICENSE LAW
I declare r-peri-ailty of perjury (check one):
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._2621'7- 5 -Classification 52-6/
0 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)
0 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONSTR. ( MULTI-.UTLET
NON.RES,., BRANCH CIRCUITS) 2.50 ea I
NEW CONSTFL /POWER APPARATUS &I
NON -R ESID. I SINGLE OUTLET CIR. I
Ex. Occup(OUTLETS OR FIXTURES .20050c
AL@ 300
OCCUP. FIXED APPLINIS F®R-
Ex. OUTLETS (RESI*D.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15-00
Misc. Wiring 15-00
Permit Fee $
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
M The permit is for $100.00 (valuation) or less.
D_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-Ingure.
F-] I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Venti lation
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequenceof the granting of this per it.
- ; 6 ) , U//, Date Zof.>
*;.�Dlu,e of Applicant 0 wKe*r'0 Controctor.0 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 $ q4-. 0 0
—
TOTAL PERMIT FEE P0 . On
OCCUP. GROUP
I TYPE OF CONST.
I %]PARCrLJP-k--
F
V -s -w
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE R OF PUBLIC
�1� )
Bv
PE,661T EXPIRES Date—
the applicable pro
resolutions to vdo'
fees have been paid.
WORKS
Date YJ
0-1
Receipt NO. P.413( )
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDEN ROD-APPL I CANT d
COUNTY OF BUTTE - DEPARTMENT Or'PUBLIC WORKS - BUILDING DIVISION
J 7 COUNTY CENTER DRIVE - OROVILLE, 6ALIFORNIA 95965 - TELEPHONE: 916/534-4541
i- - - -�
PERMIT APPLICATION DATA SHEET V/
6 Permit No.
OWNER ro Q a A. P. No. P,� 9
Proposed Building Use
Permit Fee Based Upon: —Complete Contract Price DPW Valuation
Other (Exiflain),
Building Inspector Date
At timelf, permit application, I was advisei/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/tripli-cate . . .. . . . . . . . .
3. Complete plans in duplicate./triplicate. . . . . . . . .
4. Complete engineered plans and calos . . . . . . . . . .
5. Plans with Energy Design Compliance Statement . . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Bui Idings.
8. Fees of $ . . . . . . . . .
9. Letter of signature authorization . . . . . . . . . . .
10. Sanitation approval from 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 ownerEj)
—15. Improvements may be required . . . . . . . . . . . .
—16. Mobilehome Installation Data. . . . . . . . . . . .
4 Pre-Inspec. request to
17. Pre -inspection for Required- Building Inspector (Date)
18. Recorded copy of Agricultural Acknowledgment Statement.
—19. Other
When you issue the permit, 'roce & as follows: — Mai�lo owner. —Mail to contractor.
V Telephone. and hold for pickup at office. —Deliver w/inspector.
Other
A p p I i c a 61 :]�� Zc�14,, Date -
Copy of plans sent
—Health Dept., —Fire Dept., —Other— Date
During the plan checking process, the following data mu�_t 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 430 --
Other:
Copy -DPW
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville. CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1., owner's name: Az�
2. Installer's name:
3. Is the site currently under permit? Yes No'
(If yes, furnish permit -number OR
Is the site an existing site? Yes No
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft.,away from septic tank and leach fields and
clear 6f all setbacks and easements? Yes No
(If -no, clarify
5. What is the mobilehome electrical rating? ----------------------- 2 CIA Amps
6. What is the mobilehome site service rating? --------------------- ac o Amps
7. What is the mobilehome site circuit breaker rating? -------------- Amps
8. Is there any other electric load to be served by the mobilehome
%70W 1
siteservice? --------------------------------------------------- Yes
(If yes, identify the load and size:' i4w L� (Load) 4;4--
9. What is the mobilehome site gas pip.0 size? ----------------------
10. What is the type of gas service? ----------------------------- Natura
No
_(Amps)
11. What is the gas pipe length from meter or tank to the mobilehclKe? (ft.)
12. What is'the mobilehome gas demand? -------------------------- (BTU)
(This information not required if pipe length less than 6 ft. on natural gas
or less than 50 ft. on LPG.)
BUTTE COUNTY To Aly� FIX00'"'
BUILDING DEPARTMENT
APPROVFP
MOBILEHOME SUPPORT DATA
If -other than single wide,.
Mobilehome Mfr.-. furnish Setup Model No. Xqk (,o P rj 'Year R'6—
Width �2 (ft.) Box L engtl� 6 Z
<ft.). Tagalong or-Expando Size ft. x ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehames manufactured after October 7, 1973,- furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front -of
mobilehome unless otherwise specified.
Footings (check one)
–Tagalong or Expando,
show support details.
(in.) (in.)
Single
F -4--.Wo od either
AA
pressure treated or
foundation grade.
lax . 26
(in..) (in.) Footing 'Size
.(ft.)(in;)
(in.) (in.)
El 2. Other (specify)
Center support
Center support
locations*
footing sizes
Supports (check one)
(in.)
Max. Pier Spacing
E3---1 --Concrete'block.
1-36 - 20
E] .2 Othe r (specify)
(ft.)(in.)
(in.) (in.)
I
–Tagalong or Expando,
show support details.
(in.) (in.)
*If center piers are other than drawn above,
draw in–locations, spacing, and dimensions.
x ar -- Typical Support
(in..) (in.) Footing 'Size
(ft.)(inj
(in.) (in.)
Max. Pier Spacing
Max. Overhang
li(ft.)
(ft.Vin.)
(in.)l (in.)
L j16
(in.)
*If center piers are other than drawn above,
draw in–locations, spacing, and dimensions.
I
This set of plans aind specifications MUST 6a
kept on the job at all times and it is uninwful +0
make any changes or alterations on same wi+houf
r . ion from the Department of Public
written permiss
Works, County of Butte -
Be in
GIs Proctices an
NOTE.—All Mater' Good. - so in the
-,,I PecoGnIze led L
WI(I _�o 0 Specil
Accordance -� -1 .(,or t1i odes an8
,,,,,iy prescr, ' dclianical C
of a CIU " p1jImloing &
Uniform BuI1,6ing' rical C088 -
,he National Elect
A setback of 5 ft. from the
property lines and a setback
of 50ft. from f�e road
centerline shall be clear of
structures or equipment excent
for a 2 ft eave overkan,
104 Y10 %A
011P 5
:%Hop
/ o kc 1? e -5
,At�p' # 7Z -H-32-
/4-1 X
6 G &
04� 4
+
A permit will
Lqstallotion o
Utility onnections s ithin
4 ft. of ' t e , ilehome, e ther
directly behind or wi I i e rear
half of the roadside (left) of t e
mobilehome.
0
4- 0
H W? / e- -�o jv R D 7a e
le4�1
equired, for
he miobilehon
fill
T' COUNTY
NG DEPARTMENT
APPROVED
COUNTY OF BUTTE - DEPAPTIVIENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Calii�nia 95965 - Telephone 916/534-4541
AGRICULTURAL BUILDINd EXEMPTION PERMIT
ERIVII
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not
be a place of human habitation or a place of employment where agricultural products are processed, treated,
or packaged, nor shall it be a place used by the public.
ASSESSOR PARCEL NO
ZONING
OWNER
PHONENO
OWN ER'S ADDAESS
1.
LObATION OF BUILDING
ro V/Ae�
USE OF BUILDING
SIZE OF STRUCTURE V
V
CA)
'X KQ IM SQ. FT.
TYPE OF CONSTRUCTION:
WOODFRAME —^TEEL.— CONCRETE —OTHER (Specify)
TYPE OF SIDING
ROOFCOVERING
LOOR TYPE
ESTIMATED COST OF CONSTRUCTION
dD
AG Buildings shall comply With the building front, side, and rear yard requirements of the applicable County
Ordinances as follows:
C
/ C>
FRONT_S"6'
SIDES REAR— . - . . I
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floorareashall be located a minimum of 6 feet from a residence,, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greaterthan 1000 sq. ft. in floorareashall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
Date
Signature of Owner 4�z��
Permit Fee - $25.00 The above described AG Buifd�:incg is exempt from a building permit.
Receipt No. 40_3��� Director of Public Works
By- Date fZz
White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant
Af i7 I `111f, ' -t,010— —4. 4.
7V ;%j
COUNTY OF BUTTE - DEPARTMENT OF.?UBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIY40RNIA 95965 - TELEPHONE: 916/538-7541
)M DATA SHEET
PERMIT APPLIC
Permit No.
OWNER Z A. P. No. fZ
Building Inspector Date
Proposed Building Use
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/orissuance: 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. Plans with Energy Design Compliance Statement . . . . . .
6. School District ''Fees Paid'' Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings, ' . . . .
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . .
10. Sanitation approval from Hea I th- 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 ownerEl, Mail to owner F�
___15. Improvements may be required . . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . . . .
Pre-Inspec. request to (Date)
17. Prb-Inspection Required. Building In s pector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21.
22.
When you issue the permit, process as fol lows: Mai I to owner, ..I\t1ai I to contractor-
-Telephone and hold for pickup at—office, 'Deliver w/inspector.
Other
Applicant
Copy of plans sent - Health Dept., -Fire Dept.,
,O�P
av,e 24w _7X_,,0x,1)
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---mail —counter by— date
Contractor, designer, owner, was advised c! above required data by—phone —mai I —counter by— date
Plans checked by
Sets of plans on hold in
Copy—DPW
Date Plans approved by
File cabinet _AP folder
Date
/1- 30- 9117
Ali
-16'61
lu
-Ilb
4150010��o
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER & , — A No, 11Cf1_,:5W
(,,P2,xh _X�� - Date 1113,j
Proposed Building Use — Building Inspector
At tirre of permit application, I was advised the following data must be submitted prior to permit processing
and/orissuance:
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 caics, with wet signature on plans.
5. Plans \i�I[h Energy Design Compliance Statement.
6. School District ''Fees Paid'' Stamp on Floor Plan.
7. Statement of Intent for Non -Heated and AC Buildings.
R_ Fees of $
4��_9- Letter of signature authorization.
10. Sanitation approval from. Health Dept.
11. Planning approval for (A) Use:— (B) Farking:
12. Certificate of Workmen's Compensation Insurance.
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to ownerEl , mail to owner FT
15. Improvements may be required. Contact Land Dev. Sec. of D.P.W.
16. Mobilehome Installation Data including manufacturer's installation instructions.
17. 'Pre -inspection for - required.
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit (Construction approval required prior to occupancy).
— 20. Plot plan approval from city of— (See city for other reqts).
— 21.
— 22.
When you issue the permit, process as follows: �C Mai I to owner. —Mail to contractor.
Telephone and hold for pickup at —office.. —Deliver w/inspector.
Other—
Applicant
GENERAL INFORMATION
BUILDING DEPARTMENT OFFICES HEALTH DEFAR . TMENT OFFICES
Chico . . . . 196 Memorial Way Chico . . . . 196 Memorial Way
Phone: 891-2751 Phone: 891-2727
Hours: 8:00 a.m. - 10:00 a.m. Hours: 8:00 a.m. - 9:00 a.m.
Oroville 7 County Center Drive
Phone: 538-7541
Hours: 8:00 a.m. - 5:00 p.m.
Oroville . . . 7 County Center Drive
Phone: 538-7281
Hours: 8:00 a.m. - 10:00 a.m.
Paradise . . . 747 Elliott Road Paradise . . . 747 Elliott Road
Phone: 872-6307 Phone: 872-6308
Hours: 8:00 a.m. - 9:00 a.m. Hours: 8:00 a.m. - 9:00 a.m.
PLANNING DEPARTMENT — 7 County Center Drive, Oroville — Phone: 538-7601
— Hours: 10:00 a.m. - 3:00 p.m.
Original — Applicant
Xj
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
Agricultural, building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, orother horticulutral products. This structure shall not
be a place of human habitation or a place of employment where agricultural products are processed, treated,
or packaged, nor shall it be a place used by the public.
ASSESSOR PARCEL NO.
ZONING
OWNER
elq
PHONE NO.
OWN�R'S ADDRESS
Z-68
ri T11 S 0-4
4�5
L06ATION OF BUILDING
4L
C7 &
k�& V/1 -
USE OF BUILDING
SIZE OF STRUCTURE
50
x
SQ. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL- CONCRETE- OTHER (Specify)
TYPE OF SIDING
ROOFCOVERING
FLOOR TYPE
fw 1
71 -
ESTIMATED COST OF CONSTRUCTION
AG Buildings shall comply With the building front, side, and rear yard requirements of the applicable County
Ordinances as follows--
FRONT_S�;�!J�"e
"4-e4dSIDES
REAR C11 -
.1 .
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings I ess than 1000 sq. ft. in floor area shal I be located a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greaterthan 1000 sq. ft. in floorareashall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
7
Date Signature of Owner
Permit Fee - $25.00 The above described AG Building is exempt from a building permit.
Receipt No. Director of Public Works
By Date
White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant
Owner:
Address:' -
Tenant:
Building Location:
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 14_
SPECIAL INSPECTION REPORT
AOPO # zz- 19:
.Date of Ins'ecti6
d, A4 �0- kp- 1) A ve, A a s r -r, o ia s, C--) -"-o 39 D n M
Inspector
Type of Inspection requested:
-/-71. Housing. ='2. Financing
7-1 3. Change of occupancy to
7"-
SY'4', other (specify) kz -a, ddin,::4 AZQ1-0
'Present use of building�.
A. Sanitation (Hou
sing) -
1. Water closet:
2. Lavatory:
3. Bathtub or shower:
4. Kitchen sink:
5. Hot and cold water to fixtures:
..6. Heating'facilities:'
7. Naiural light and ventilation:
B.'. Room and space requirements:
9.. Bedroom window or door for second exit:
10. Infestation of insects, vermin, or rodents:
Al.' Connection' -to sewage disposal:
12. Connection to watef,.supply:
13. Rubbish and garbage facilities:
14. Co= ents:
Bo Structural
1. Piers and footings:
2.—Floor construction:
3. Wall construction:
.4. Ceiling and'robf construction:
5. Fireplaces::
6. Comments:
C. Electrical
l.. Service and ground:
2. Receptac es:
3. Fusing:
4. Counients:
D. Plumb in
1. Fi:,itures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4. Comments:.-
E. Other
1. Maintenance and repair:
2. Fire hazards-.
3. Safety hazards:
4" Weatl?er protection:
5. Underfloor and attic ventilation:
6 Conments:
F. Conmercial. Buildings
1. Roof covering:_
2 --Disnince to property lines:
3. Physically handicapped:
4. Rest-6oM floors and walls:
5. Exits:
6 -'Improvements:
7: Zoning:
8. ConnentF.:—.
G. *tield Probler.i�-O'r Violations
11
1. Problm %riolatil kgive complete deEcr
What actkn'takc?lPtgiive complete -Jescr
What P-O.on recomme-nded:
T7 A'.'-Infonaation only
B Hold for ten. (10) days, then wri-,u letter.
I: Write letter,
--77 p.. Other:
File No.
BUTTE COUNTY (For Action 1, 2, 3)
Public Works Dept. (For Information V)
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
Bldgs. & Grnds.
Bldg. Insp. Admin.
�7z 0 -
Design En9r. I
Bridge Engr.
Constr. Engr.
Surveys
Mapping
Transp.
Land Dev.
Drng. /S.I.
Sub. & Pcl. Maps
Permits
Addr.
Bruce D. Braga
3757 Wellington Square
San Jose, CA 95136
Dear Mr. Braga:
April 10, 1984
Acting
RE: Permits and inspections
AP #72-19-32
With reference to the above subject and Your letter dated March 1, 1984, we did
receive a letter dated January 2, 1984, from Robert Braga indicating the present
facilities are temporary and that he intends to obtain permits for the permanent
facilities, probably this spring.
In March of 1983 an inspector from this office advised'Hr. Braga that permits
were required for the electric and water utilities connected to the travel
trailer. If the utilities are no longer connected, the travel trailer could be
considered stored on the property.
There are other small buildings on the property that show signs of being
occupied on a temporary basis which do not have any permit or inspection
approval, including proper sewage disposal facilities.
Since permits and inspections are required by State and County laws for living
quarters (whether temporary or permanent), I suggest you either submit a
proposal to us concerning the construction of the permanent facilities and a
time schedule for phasing out the temporary facilities or apply for the required
permits for the work done.
Please respond to this letter within 30 days so we can resolve this problem
in a timely manner.
Should you have any questions, please contact this office.
JFG:aj
cc: Mr. & Mrs. Robert Braga
16942 Mitchell Ave.
I,os Gatos. CA 95030
Yours very truly,
William Cheff I
Acting Director of Public Works
Origir,if -signed by
J. F. Glander
J.F. Glander
Chief Building Inspector
� � - / ? -3,2-
File No.
BUTTE COUNTY (For Action 1, 2, 3)
Public Works Dept. (For Information
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
BIdgs. & Grnds.
Bldg. Insp. Admin.
Design Engr.
Bridge Engr.
Constr. Engr.
Surveys
Mapping
Transp.
Land Dev.
Drng. /S.I.
Sub. & PcI. Maps
Permits
Add,.
BRUCED.BRAGA
ATTORN ' EY AT LAW
3757 WeHington Sq.
San Jose, CA 95136
408-2664590
March 1, 1984
Mr. J. F. Glander
-Chief-Building Inspector
Butte County
Department of'PAlic Works t
7 County Center Drive
Oroville, CA
RE:- Your Letters of December 19, 1983 and January 27, 1984
Dear Mr. Glander:
I am writing this letter on behalf of -'my parents,
Robert and Marilyn, Braga, concerning your letters. As you
failed to acknowledge my mother's letter'written in response
to your December 19th letter, perhaps you can clarify your
vague, rather intimidating letter.
To restate my mother's letter, a'travel-trailer is
stored on their property off Hurleto * n Road in Oroville. The
trailer is not "installed" on the property unless you define
"installed" as parked on the property. My parents intend to
build a house on the property eventually for retirement.
Pursuant to that, they have taken out a septic permit and
will apply for a building permit prior to constructing the
house.
Given the above, I would.appreciate either,a response
or cessation of'the, harassing letters that my parents have
been receiving. Any questions can be directed to myself or
my parents at the addresses/phones shown below.
Bruce Braga Mr. & Mrs. Robert Braga
3757 Wellington Square 16942 Mitchell avenue
San Jose, CA 95136 Los Gatos, CA 95030
(415) 855-2188 (408) 356-5374
Sincerely,
Bruce D. Braga
Attorney -at -Law
BDB: k j
cc: Mr. & Mrs. R. Braga
- , - o. 1, .
File No. is
BUTTE COUNTY (;J�Ac%i 1, 2,3)
Public Works Dept. (For information
Director
Dep. Dir.
Sec.
I Rd. & Br. Mtce. I I I
I Shop & Yards I I I
I Bldgs. & Grnds. I I / I
I Bldg. Insp. Admin. I 'I /I I
Design Engr.
Bridge Engr.
Constr. Engr.
Surveys
Mapping
Transp.
Land Dev.
Drng. /S.I.
Sub. & PcI. Maps
Permits
Addr.
00
In
E
0
CL.
3V 0 0 2 4 5 2
RECEIPT �011 CERTIFIED MAIL -
NO INSURANCE COVERAGE PROVIDED—
NOT FOR INTERNATIONAL MAIL
(See Reverse)
SENTTO
Robert Braga
STREET AND NO.
16942-mitchell Ave,
P.O., STATE AND ZIP CODE
Los Gatos, CA 95030
POSTAGE
3
CERTIFIED FEE
SPECIAL DELIVERY
ca
RESTRICTED DELIVERY
cc
co
SHOW TO WHOM AND
Ij
DATE DELIVERED
M
SHOW TO WHOM, DATE,
w"—
AND ADDRESS OF
R
DELIVERY
SHOW TO WHOM AND DATE
DELIVERED WITH RESTRICTED
C,
DELIVERY
CD
C.3
t—u
SHOW TO WHOM, DATE AND
cc
ADDRESS OF DELIVERY WITH
RESTRICTED DELIVERY
TOTAL POSTAGE AND FEES
$
POSTMARK OR DATE
AP 72-19-32
1/27/84
SENDER: Cc-nplete items 1. 2, and 3.
A�d yaw address in the ".U, IU]kN. TO" space on
reverse,
1. The foRowl-n.- service is reques'ed.(check one.)
0 Show to whom and date deLvered ............ 4t
KI Show to whorn, date and addrCS3 of dplivery.-4.
0 RESTIUCTED DELIVERY
Show to whorn and date deL-vered ........ a.—*
11 RESTRICTED DELIVERY.
Show to whorn, dale, and address of drefivery.$—
(CONSULT POSTMASTER FOR FEE.S)
ARTICLE ADORMED TO:
Robert Braga
16942 Mitchell Ave.
Los Gatos, CA 95030
3. ARTICLE DESCRIPTION:
REGISTERED NO. I CErTlFiED NO. INSURED NO.
PI
(Always obtain signature of addressee or agent)
I have received the article described above.
G.'GUATURE - OAddressee OAuthorized agent
> 4.
ADATE -F-I—DEL ERY 9�tMARK
5. ADDRESS (Completo art ifre
0
r)
6. UNABLE TO DELIVER BE(1�4W.
AP 72-19-32 1/27/84 *GPOfl979-300-459
UNITED STATES POSTAL SPV10E -
OFFICIAL BUSINEW J5 F %A
SEWER INSTRUCTION,1W.
Print your name, address, and ZIP Cod t spacelbeliii.c
• Complete items 1, 2, and 3 on the rkyersy,,,,
• Attach to front of articl.a ji space parn)i%:-�
obwwlw affix to back of article.
• Endorse article "Return Receipt Requested'
adjacent to number.
RETURN
COW, I QJTCAMI
rulluc I
71
tjo PENALTY FOR PRIVATE
USE TO nNYVAYMENT-
OF.POWFAQE_$30D
LMMIL
Department of Public Works
(Narne of Sender)
FEB 6 1984 7 County ibenter Drive
AM PRI (Street or P.O. Bm)
718A100102i11213141516
Oroville,' CA '95965'
(Oty, State, and ZE? Code)
Atta,: Building Department
Since both permits!and inspections are required by both State and -County laws,
unless you have obtained the required permits and made arrangements for the require` d
inspections within ten"(10) da�s of the date you�receive this letter, the matter will
be 'referred to the proper authorities for appropriate-ac'tio*n.
Should you have any questions concerning this matter, please contact us.
Yours very truly,
Clay Castleberry
Director of Public Works
Ortgkal signed by
J, F� Glandet
J.F., Glander
JFG:dd Chief Building Inspector
cc: Building Inspector" 0-"41110
47MM
weatth Dop"t"at
Z_
'OF
L A N
D NATURAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WORKS
CLAY CASTLEBERRY, Director
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965'
Teleohone: (916) 534-4541
H.W.McDONALD
Deputy Director
CERTIFIED MAIL
RE: Permits and Ins t*
16942 Mitaball Ave.
(AP NO. 72490
Lot, Gatos# CA 93`030
With reference to the- above subject, on
ANUORbu Wr 1983 we wrote you a letter
requesting that you obtain the required
permits and the required inspections from
this office for the work you have done as
follows:
1"tAtUA At trovel. .04114V (CQftftt*4 -to *at*t W14 *1*41ries but cot�
00"Ir " 9414UIV49d)* YoUlt '00111" y
1"Oted 6"'N"Ietoo R*4401 ox9vill4o
Since both permits!and inspections are required by both State and -County laws,
unless you have obtained the required permits and made arrangements for the require` d
inspections within ten"(10) da�s of the date you�receive this letter, the matter will
be 'referred to the proper authorities for appropriate-ac'tio*n.
Should you have any questions concerning this matter, please contact us.
Yours very truly,
Clay Castleberry
Director of Public Works
Ortgkal signed by
J, F� Glandet
J.F., Glander
JFG:dd Chief Building Inspector
cc: Building Inspector" 0-"41110
47MM
weatth Dop"t"at
File No.
BUTTE COUNTY TFor Action 1, 2, 3)
Public Works Dept. (For Information
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
BIdgs. & Grnds.
Bldg. Insp. Admin. L#***�
Design Engr.
Bridge Engr.
Constr. Engr.
Surveys
Mapping
Transp.
Land Dev.
Drng. /S.I.
Sub. & PcI. Maps
Permits
Addr.
t
lill 1111 11
iiiiiii lllliiiillll iiiiiiiiiiiiiiij
I
*Oda
V11110
4 -vo
so,
ROBERT A. BRAGA
16942 MITCHELL AVE
LOS GATOS, CAL.
95030
M "MW MWW NWAVAVAWAVAWAWAWM
ipm J
Im
5 JAN
�984
C�
............
r I
'iJ� �Jo4c
File No. ;::kl
BUTTE COUNTY (For Action 1, 2,3)
Public Works Dept. (Foe Information V)
Director
Dep. Dir.
Sec.
Rd. & Br. IVItce.
Shop & Yards
Bldgs. & Grnds.
Bldg. Insp. Admin.
Design Engr.
Bridge Engr.
Constr. Engr.
Surveys
Mapping
Transp.
Land Dev.
Drng. /S.1.
Sub. & PcI. Maps
Permits
Addr.
U
7.
I'll county
L A N D 0 F N A T U R A L W E A L T H A N D B t -A U T Y
DEPARTMENT OF PUBLIC WORKS..
CLAY CASTLEBERRY, Director
7 COUNTY CENTER DRIVE, OROVILLE', CALIFORNIA 95965
Telephone: (916) 534-4541
WILLIAM (�ill) CHEFF
Deputy Director'
Dace"OV 10s, 1983
Robert SragA RE: Building Permit
16942, Mitchell Ave. A. P. # 72149-32
Lot Q&ta**;CA 95030
D"t
With reference to the above subject, we have been advised by one of our building
inspectors�that you have not obtained the required permits and inspections from
this offic6 for the work you.are doing as follo S.
I , V"d
ee 41101
1.110talled a ttAvel ttgAlerAon your property �ocat*.O off Hurletan Road#
Since permits and inspections are required by both State and County laws, please
contact this office within ten (10) days of the date of this letter, submit two
(2) complete sets of plans, apply for the required permits, and pay the appropriate
feess AAC-1 Ina pecalty-fam.
All work must stop until you obtain these permits and are authorized by our field
inspector to proceed. This field authorization.cannot be made until the existing
work is inspected and approved.
Your cooperation.in resolving this matter would certainly be appreciated. Should
you have any questions concerning this matter, please contact this office.
JFG: aj
cc: Building Inspector - Oftvitlllb
606ebefto- , at
/)-e,a /-/� bf &YI
Yours very truly,
Clay Castleberry
Director of Public Works
J.F. Glander
Chief Building Inspector
P
Owner:
Address:'-.
BUTTE COUNTY DEPARTMENr OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
8*04 A*P*'
Date of Inspection
A R_,W.
Tenant: Inspector
AIIS A112 Z6FD4L-' �E
Building Location:
Type of Inspection requested.
L7 1. Housing. 2. Financing 3. Change of Occupancy to
4,,..Other (specify)
Present use of.building:
A Sanitation (Housing)
1. Water closet:
2. Lavatory:
3. Bathtub or shower:
4. Kitchen sink:
5. Hot and cold water to fixtures:
..6 Heating'facilities:
7: Natural light and venftlation:--------'
8. -Room and space requirements:
9.- Bedroom window or door for second exit:
10. Infestation of insects, vermin, or rodents:
.11. Connection',to sewage disposal:
12. Connection to watei-,supply:
13. Rubbish and garbage facilities:
14. C -r �ents:
B Structural
1. Piers and footings:
2.. Floor construction:
Wall construction:
4: Ceiling and'robf construction:
5. Fireplaces:'
6. Comments:
C. Electrical
1. Service and groundi
2. Receptac es:
3. Fusing:
4. Comments:
D. Plumb in
1. FLitures connected and vented:
2. Gas water heater:
3. Gas heating vents:
Comments:
E. Other
1. Maintenance and repair:.
2.' Fire hazards-.
3. Safety hazards:
WeaV)er protection,
5: Underfloor and attic ventilation:
6.' Cosments:'
F. Ccmmercial Buildings
1. Roof covering:_
2 --Disrdnce to property lines:
3. Physically handicapped:
4. Rest-oom floors and walls:
5. Exits:
6-.'-'Impr6vements:
7. Zoning:*
Connerit��:—
G. -Field Problezfzs or Violatior,.s
viol tiorl 'give complete descript
1. Problem 01 ion): /46,0-5 evoc"murs-c-" 7X,&�
7 t (-t 6
What action taken (&ive complete --descript.1011)
r" 14
.3... WhIat acti�.)n recom6ended:
77A'.'-Info-nuation only
B'. Hold for ten (10.) days, then wri!�u' letter.
C. Write letter.
7 D.- Other':
4� �t
!J614 -T 41c-
F4(ftF,-O
6
40
:?-a, IL-
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541 01
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector— — Date
�+ _,- �_. o w. A;,�3v . y,,.,, :;. .o.. _,., :�-.;1 .. -a �w� �., r. .H-., p� v • �c<�• ,. .6 Cv.,- =& ��' o ,'ati �-�Q •t. �.
�d� ���
�...
_�"
a�, .1
<;/L�- ��/�--
�� /�-`�
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County,Center Drive - Oroville, California 95965 - Telephone 916/534-4541 7,$
APPLICATIN-AN'S PERMIT f ZS 17 — � 7 --
ASSESSOR PARCEL NUMBER
72- /Y
ZONING
4__1 S H
BUILDING PERMIT
OWNER
a D
TELEPHONE
S11. FT_ OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
i t. ? o 2, _X A. 4oNN A vp
CONTRACTOR'S NAME
Or) I '_tlo 1_.-, I �___ I e C_
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
o
Fireplace
CONSTRUCTION LENDER '0
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
k., ir 1 101 1-1,1 W
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
1
IPARCEL MAP
Each qas water heater or vent
5.00
Gas piping system I - 5 outlets
USE OF STRUCTURE
SF [:1 DuplexF] MobilehomeF� Other SPECI FY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New n Addition [J Remodel El Utilities [:1 Installation[:] Other g,
Describe work: 7a-yf, jc) Z-- I C, r- -k4j A U 1 12
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 600V OR LESS
100 AMP OR LESS
hsloo /o -nn
Main service EA. ADD'L 100 AMP
2.50 1),
NEW CONST DWELLING OCCUP..)
OR ADDNS. * ( ACC. BLDGS.
20 sq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F1 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
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)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
N I- W CO N STR`(MULT'_OUTLET 2.50 ea
N . N -.E S ID� BRANCH CIRC.11S)
NEW CONSTR. I POWER APPARATUS &) 41 0 1
NON-RESID. ILSINGLE OUTLET CIR.
50 @ 259�
Ex. Occup(OUTLETS OR FIXTURES BAL@1
IXED APPLNS. OR I
Ex. Occup. (0%T LETS (RESID.) EA.1 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
V.
Permit Fee $
Contractor
MECHANICAL PERMIT
Fi I Ing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F� The permit is for $100.00 (valuation) or less.
E] I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit' r
X ')' il 1. >
P7/r,�' YA , I '/- 9- 1,-1( . Date
Signaturelof Applicont — Owner RW Contractor El Agent 0
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
I
1PARCE11
PI
I "I
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR,OF PUBLIC
3y.
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt N 0.
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK-INSPIECTOR, GOLD ENROV-APPL I CANT
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
_7 & 0 (Z�eA
BUILDING OR PROPERTY ADDRESS
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.
J
A)-19�
1-M
/A 02,
Inspector. Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 959E5 - Telephone 916/534-4541
APPLICAWION AND PERMIT
PERMIT NO.
_Z
ASSESSOR PA]J NUMBER
7a- 777�3 D,
ZO IN
& /I
[_ BUILDING PERMIT
0 R MELEPHONE ]
If\ OR 3
OWNER* -S MAILING ADQF S
C. 94 CL _161 �S V %e_
SO. FT. OCC. BUILDING VALUATION
Cd_r64T`_R_ACTO?�F4A
ro I , tj -f li—�_) 0— c_
C-EPHONE
CONTRACTOR'S MAILINr? ADDRESS
yl)
Fireplace
CONSTRUCTION LENDER 0.� UNKNOWN
LENDER's MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Total Valuation Is
Filing Fee
Permit Fee
Plan Checking Fee
Penalty
Permit fee
$ 10.00
$
$
$
$
BUI.rN E
�ADF SS,
PLUMBING PERMIT
Fi I ing Fee 10.00
114
Each Trap
2.00
Repair drainage or vent piping
5.00
0
Water piping
6' ,
LOT NO.
UBDIVISION NAME
is
ARCEL MAP
1P
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SFEI DuplexF] Mobilehome[_� Other —
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK.
NewEl Addition [I R emode I El Utili I Other
tVation
Describe work: T_qnn_NAD Q V T P_
0
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
1/0-00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST - ( DWELLING OCCUP.01)
OR A..NS. ACC.BLDGS.
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F-1 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
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)
A1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NE W CO NSTP-(MULTI.OUTLET 2.50 ea
NON -RE S.. BR ANCH CIRCUITS)
NEW CONSTR. I POWER APPARATUS ") 4,
NON-RESID. %SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 50 @ 250
BAL@100
(FIXED APPLNS. OR I
Ex. Occup. OUTLETS (RESID.) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
?T- v!
�Permlt Fee $
Contractor
MECHANICAL PERMIT
Fi I i rig Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-1 The permit is for $100.00 (valuation) or less.
Ej 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 forthwitn comply with such
provisions or this permit shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Venti lation
Permit Fee
S
:;ontractor
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 ot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agai t id C t , ence of the granting of this pe t.
��y in f-nnsequ r t 0
Date 1��
Signature(of Appli4nt OwnerX Contractor 1:1 Agent n
An OSHA permit is require I I- .4ai ---, over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
CCCUP. GROUP
I TYPE OF CONST.
I PAYJ
P
—his permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO PUBLIC
13
PER)OYEX'PIRES Date
the applicable provi7
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. = 63
WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDEN ROD-APPL I CANT
I
DF-StRIPTION:
All that certain real property sit-luafe in the County of Butte9 State of
Califor'hiat described as followS4
A portion of Section 17p Township 19 North,. Rang e 5 East
and M&ridianq described as follows: Mount Diablo Base'
BEGINNING at t -he intersection of the West line of the Northeast quarter of
the Southeast quairt-er'of Section 17, Township 19 North, Range 5 East
M.D.B.. & M., and the Northerly bou,nd.ary of the OroVille-Foj�bept,oW
n Road and
running Northeasterly -along the Northerly boundary. of the" 'ville-
Oro
Forbestown Road, a distance of 728.0 feet; thence North and parallel'with
the West line of East half of the East half of said Section 17, a distance
of 600,0 feet;. thence Southwesterly.and parallel with the Northerly line of
said Droville-Forbestown Road, a distance bf 728.0 feet to the West line of
the Southeast quarter of the Nort�heast quarter of -said Section 17; thence
South along the West -line of the I Sout'heast quarter of the Northeast -quarter
and the West line of the Northeast quarter of the Southeast quarter of said
Sec I tion 17, a distance of'600-00 feet to the point�o.f beginning.,
R-c-&-,AL-h to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGENENT
��FM i -^;L
FOR RESIDENTIAL DEVELOPNENT
94,7T -E COUMMIFY-IC-AL-l'
RIE(Q; OUS Tf';
Section 26-8.1 of the Butte County Code requires this acknowledgement PARi-Y
be recorded prior to issuanc e of a bu ilding permit. An 31 1 59 Ph'19FL!-
The property described herein is adjacent to land or included A00:'3%
P,K
within an area zoned for agricultural purposes, and residents of this 'CAT
�. (':j i -,'� 11,E,.R ET
property may be subject to i " nconveniences or discomfort arising from S,4-3150(; FF- 1E
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit of agricultural operations including, but not limited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.
All that real property situate.in the County of Butte, State of California, described
as follows:
Date: August 31, 1984
SEE LEGAL DESCRIPTION ATTACHED—
PROPERT WNERS:
A. J. Berwick
State of CA On this the 31st day of August 19 84 , before
County of . Butte SS. me, the undersigned Notary Public, personally appeared
A. J. BERWICK
LeANNE GALLEGOS
NOTARY pUBLIC-CALIFORNIA
Butte County
My Commission Expires July 13. 1 NO 0
Present A.P. No. DL -!�T'7 -7
Ll Personally known to me. XXI Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose hame(s) is subscribed to
the within instrument and acknowledged that hc
executed the same for the purposes therein conta ' ined.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
No y Pubriln
to U
01"OVIt-LE, CA ' L I F��(J R N 1A
13ENERAL CLAIA
CLAIMANT: --A J. Berwick
ADDRESS: 9279 WSR.
C ITY STATE: Oroville, CA 95965 IMPORTANT:
January' 'SEE INSTRUCTIONS
DATE Of: CLAIM: 24, 1985
ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT- RECEIVING GOODS
OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO -AVOID DELAY)
AMOUAT
Owner has decided not to do work. (Bldg.Perdit Appin. #2775-84B,P,E.,M,
Receipt #25877,.da.ted 8/3.1 ./84, AP #72�1§-32).-
Building, permit fees paid ----------------------------- $373.00
Retain filing fee ----------- 10.00
Retain plan Checking fees -------- $131.00
Retain pre -inspect ion fee--- —7--$ 15.00
Amount retained-''*
-------------------- ----------
Refunddue -------------------------------------- ----------
Plumbing permit fees paid -------------------------- �-$'36.00
-Retain filing.fee ------- 7--$ 10.00
Retain plumbing inspection f e -
e _:�5 . �OO
Amount retained -------------- --------------------_15.00
Refunddue ------------------- ----------- -----------
Electrical permit fees paid -----------------------------
Retain filing fee ----------- r�---.$'10.00
Retain electrical inspect -ion fee_$ 15-.00
Amount' retain*ed--------- ------- m- ------------ J_Z5 00
Refund due ------------- r ------------
- ----------- -- 7 -----------
N,bc4anical permi—t fees pai(f -------------------Z-
Retain filing f ee ---- $10.00 Refund due -------------- $ 15.0C
Re.f u nd energy inspection fees ----------------- ------------
TOTAL
$301
60
1, the undersigned, declare under penalty of perjury that the services or articles claimed have been sformed O?r delivered, *and that this
claim is true and correct as stated.
.atL
D -d this day of
....... at .... Can
...............
Signature of Claimant
1, the undL_rsigned, hereby certify that, to the best of my knowledge. the services or articles specified above hs�b Performed or de.
livere-ck and that there is 6 Budget Appropriation or Specific B.Pard Approval EJ (Check one) f9j;,t e sam
D�t.d tho ............... 2At .......... day f j��PU�y -19
0 ... ......... at ........... ....... ..... .. ... ..... ........... ....... .............. ! ..........
De artm�nt Head or Authorize .�y
Dept. Exp.
Code............................ .............. Co�de . .................... PAYABL.E FROM ............... ........ ...................... .........................
Hff —LINE - AUPITOR'S USE ONLY
DEPT. & SUB.
PROJ.
SUB. OBJ. CLAIM NO.
INV. NO'.
INV.DATE
ENCUMB.
�3ROSS AMT.
Alf!
N
A, ZA ( x, o,, e �X—
PERMIT NO. 2775-84B.P,E,M
PERMIT EXPIRES
OWNER A.j. BER WICK
CONTR.. owner
ASSESSOR PARCEL 72-19-32
LOCATION 400' off N/S Hurleton Rd @ inters
Forbestown Rd. Oroville
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
CalledPG&E
JOB FINALED (Date)
I
Signature
V '='OK' -
0 = Not OK
- = Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEMOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements-Setbacks--�Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements-Setbacks�Easements
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Locat i on -Test- Easement Needed (Sketch)
4. Wood Awn.; Posts -Seams -Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ Amp -Concrete
5. Alum. Awn.; Column�-Connections-Splice-Decal-Enclosures
6. Gas; Location -Test -Wrap: Nat. or/ /"L"ft./ ./"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -131
Date Card -BI Date
Card -BI
Date Card -131 Date
Card -131
Date
Date Card -131 Date
MOBILEHOME INSTALLATION (Plans) OK except #'a
1 . Zoning Req u i rement s-Setbac: ks- Easements
Card -Bl'
Date
Date Card -131 Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compact i on -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Stee I -Connect ions -Th ickness-Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GF1
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GF1
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lgh1g.
Boxes- Enc losures- Pane I boards- Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10, Cart. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -131 Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -131 Date
Card -131
Date Card -131 Date
= OK
= Not OK
= Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning requ i rements-Setbac ks- Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
4.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
50.
51.
Stairs: W idth-Headroom-R i se -A un- Land i ng -F ire Protection
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
-S-iding-Nailing-Veneer
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
6. Sternwalls, Garage; Stee I -B loc kouts-Wrapped-S lab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-UnderfIr. Access
7. Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Sky I ights-P last ic
8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
7
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors _16
10.
Water Pipe; Test -A nc hors- Reg u I ator-SeN -ice Test
11 .
Electric; Underground
12.
13.
Plenums & Ducts; Clearance -Material -Support -ins.
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 -B I 1'�
//,-Date
I �
r!� Card -BI Date
Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protect i on -Land i ngs
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except #'s
14. Water Ht.; Vent- Access -Combust ion Air
57.
58.
Smoke Detector
Furnace; Vent s -C I earance-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.
63.
Stairs & Rails
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Applian e; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -Bl Date
66.
67.
Elec. Outlets & Receptacles at Kit. Counter
Garage Fire Door; Swing -Landing -C loser
Date
ELECTRICAL (Permit) OK except #'a
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
22.
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. & Mach. Equip. Listed for Location
23.
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
1 nsu let ion- Foam- Looked in Attic [-) Yes
25.
2 Appliance Circuits in Kitchen & Conductor Size
73.
Guard Rails & Deck Construct i on -Post Caps
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 D Yes
27.
Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or A 1,
Insulated Neutral E]Yes 0No
75.
Following instId.: Drive F
_] Yes []No; walks El Yes 0 No;
Planters 0 Yes E) No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Pane I S-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except #'s
83.
Corrections from Previous Inspections
-a -s-
84.
E Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI 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
Comments at Final:
Date FRAMING(Plans) OK except #'s
36.
Sills; Proper Material & Anchors
37.
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.
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -A nc hors -Con nec tors
43.
44.
CIng. Joist-Rftr. Ties-Purlin- Roof Brac.-Truss-Shthng.-Rfnp.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protect i on -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 you visit jobs ite)
COUNTY OF BUT;,E !-,,0EPA�TMQ14T OF PUBLIC WORKS
7 County Center Drive - Oroville,' Caril0foirpia'745965 - Telephone 916/534-4541
. APPLICATI*ON ANIt- PERMIT
PERMIT NO.
AAO �%%,
ASSESSOR PARCEL NUMBER
11 a,- k I?- 3'D-
G if
X:r- S 14
BUILDING PERMIT CJ \J
111E'A, -T: I?) taf (A) i c -
TELEPHONE
:0�r
FT. OCC. NG VALUATION
SQ. BUILDI
A -IC; C)
OW
,*S MAILING ADDRES
'apo
61 f2
CONTRA,- .—M. TEEMPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace r'k, I
ifoo 0
CONSTRUCTION LENDER
&-ra e
UNKNOWN
Toial Valuation Is
LFR rid 0
Filing Fee
$ 10.00,
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
V_ -"VX -0
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
-Penalty
Permit fee U
$
BUILD I G ADDRESS
r
go -d tAq Uls Hudelsny, RCA
PLUMBING PERMIT
. 00
FillngFee 10.00
,W
f2X R
Each Trap
2.00 /(00(5
ir Water Heater
20.00
r -,D
Water piping
5.00 d -.01D
LOT NO.
SUBDIVISION NAME PARCEL MAP
Each qas water heater
5.00
Gas piping system 1 - 5VR)6f's�-
1 5.00
USE OF STRUCTURE
SF Pa/ DuplexF� MobilehomeF_J Other SPECIFY
Building sewer
5.00
Mobile Home IS I IS I W I
__10-00e4
I —
TYPE OF WORK
New [��Addition R emode 10 UtilitiesE:l InstallationEl Other F1
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00_
Main service 600V OR LESS
100 AMP OR LESS
10.00 ID'on
Main service EA. ADD -L 100 AMP
2.50 Q_fb
NEW CONST. ( DWE%qC0WP.&
0 R ADDNS. ACC.
21/4sqft t3R Ilt)
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El 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
E;. -I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CON5T UL '_OU LE
NON . RESID,R(M.RATC. CTIRCUITS) 2.50 ea
NEW.CONSTR (POWER AP PARATUS.&
NON RESID. SINGLE OUTLET CIR
Ex. Occup ( OUTLETS OR FIXTURES 20050c
BAL@30
OCCUP. FIXED APPLNS. OR I
Ex. OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
15 00
Permit Fee $
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
n The permit is for $100.00 (valuation) or less.
E] I have placed on file with the County of Butte Building Department
a Pertificate of Workmen's Compensation Insurance or a Certificate
eConsent to Self -Insure.
I s a I I not employ any person in any manner so as to become subject
t. �E W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the.W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating Co n -n
Cooling na-p
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said C nty in consequence of the granting of this permit.
y Date
Si�q.,.).f Applicant — Own Contractor [] Ag.rft"E]
An OSHA permit is required for e:�cavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
VL V) E,�Cg TiN -S -!fo A 0
TOTAL PERO,�
�EE $
oc"P. GROUP I
TYPE OF CONST.
I 1Aj;J
P :�IISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DJ&EC PUBLIC
By.
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
na t P 94 74 V
Receipt No.-J�Q's12 7
WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT
COUNTY OF BUTTE - DEP4ATRiEbiT�,,QF P`�,.BLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVI I LL�Ej.CALIIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATIOK DATA SHEET
t__ X I � A / Permit No.
OWNER
Proposed Building Use.
Permit Fee Based Upon
Building Inspector
I
Complete Cont�act Price
N
(:�t#er_(�plain)
A. P. No. '? a — I q -,-� -) -
—DPW Valuation
Date
At time of permit application, I was advised thelfollowing 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 . . . . . . . . . . .
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 $ . . . . . . . .
9. Letter of signature authorization . . . . . . . . . . .
10. Sanitation approval from 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 ownerEl, Mai I to ownerEl)
15. Improvements may be req'uired . . . . . . . . . . . .
16. Mobilehome Instal lationjDat� . . . . . . . . . . .
I Pre-Inspec. requc
Pre-InCj:iection for Required- BuildingOnspe t
0 t h e r
When you issue the permit, process As'fol lows: —Mai I ner.
and hold for pickup at —office.
___�_'Te I ephone -
Other
Appl icant-��)
It
IVICtI I LU 1_,VI ILI CX1_,LUI .
—Deliver w/inspector.
Date
Copy of plans sent —Health Dept., —Fire Dept., —Other 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:
1__,� /I--,
(Contractor, Designer, Owner) was advised of above required data by —Telephone
Plans checked by
Plans aoDroved b,
Other
Copy—DPW
r,
By
Date Y
Date
Mail —Other
Date
,rj
ell,
(ro OR
44
i -s
C -t
ct f
\V�
(T 11
COUNTY OF BUTTE Department of Public Works
7 County Center Drive, Oroville, CA. 95965 Phone:
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your nameand bearing
your signature.
Please complete and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1. 1 personally plan to provide the major labor and materials for. construction
of the proposed property improvement (yes or.no)
2. 1 (have/have not) _ signed an application for a building
, permit for the proposed work.
3.- 1 have contracted with the following person (firm) to provide the proposed
construction:
Name
Address. City,
Phone Contractors License No.
4. 1 plan to provide portions of this work, but I have hired the following
person to coordinate, supervise, and provide the major work:
Name
Address Cit
Phone Contractors License No.
5. J will provide some of the work but I have contracted (hired) the followinj
persons to provide the work indicated:
Name Address Phone Type of Work
S igned:
Property Owner
Social Security numb r
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
permitted to issue the permit.
I k
p
I , , 1 11 1, -.1, 1 'Y � I
A
a
00� dr7
Floor Points Table 3-2. Raised Floor Points7
rn - R -Value of Insulstion,
R -Value of
SC by
OWNER 'eglc POINTS
Insulation
ASSIGNED
PERMIT NO, ,-�tZ7 fn:3M
ACTUAL
1.
SLAB - INSULATION NONE
inches a- 3-4 5-6 1+
0-3-1 to 6.4 up
2.
RAISED FLOOR - R-19
T
1 0 +1 +2
3.
CEILING - R-30.
0 - It :5 -5
4.
WALL - R-19
12 - 15 1 5 -3
5.
NORTH GLAZING - 2.-4-3.6%
16 - 19 1 -5 1 -2
6.
EAST GLAZING - 2.5-3.6%
20 + 1 -5 -1 0 1 +1
7.
SOUTH GLAZING - 1.6-3.6%
0 +1 +2 +2 +3
S.
WEST GLAZING - 2.9-3.6%
9.
SKYLIGHT - 0-1.3%
0 -4 -4 -6
10.
SHADING (Exclude Overhang)
to to to to up
EAST - Cof, .67-.82 __Zf __
0-12 1
0 +1 +3 +6 +7
SOUTH - .19-.42 rot.
0 0 0 0 0
.37-.57
WEST - .13-.36
.58-.82
-1 -3 -6 1 -12 1 -15
.SKYLIGHT - .37-.57
-2 'I__4 -8 -16 1
f
11.
HORIZONTAL SOUTH OVERHANG 2'.
12.
MOVABLE INSULATION - NONE
0-12
13.
INFILTRATION (Standard=O)(Tight=+12)
0 o 0 0 0
14,
THERMAL MASS SF
-1 -3 -6 -12
15.
GAS FURNACE (SE) 71-76%
16.
HEAT PU1fP (EER) 7.5-7.9%
17.
DUAL PACK (SE, SEER) 8.0-8.3/71-76%
13.
ACTIVE SOLAR 60% HIN (NONE)
19.
ZONALLY CONTROLLED ELECTRIC
20.
SOLAR WITH GAS BACKUP (HW)
21.
OTHER NO ELECTRIC (HW) 4,eo
ITEMS SHOIWRN"6�_POINTS
00� dr7
Floor Points Table 3-2. Raised Floor Points7
rn - R -Value of Insulstion,
R -Value of
SC by
ti
�.
Insulation
Points
De h I I 1 -7
Zast
inches a- 3-4 5-6 1+
0-3-1 to 6.4 up
I below 3 1
-12
T
1 0 +1 +2
3 4
-8
0 - It :5 -5
5 7
-6
12 - 15 1 5 -3
8 12
-4,
16 - 19 1 -5 1 -2
1 13 18
4
20 + 1 -5 -1 0 1 +1
-191+
0
7/7 /83 /C Po pjp.*.r
Table 3-3a. Ceiling Insulation
Points
I R -Value of -Insulation I Point
19 -4
22 m-2
30 0
38 +2
49 +4
Points
R -Value of Insulation I Points
it I - -7
19 0
24 +2
30 +3
3-5. North -Facing Clazing Pts
I Glazing Type
Total I
2 of I ST, I Db!. I Trpl,J
Floor U U U -
Azea 0.66 0.42- 0.41
1.10 0.65 down
0 1 + 4 1 a 4---r-+-4-7
1 0.1- 1.2 4.4 +4 +4
1.3- 2 3 +1 ,A.1 +2
2.4- 3:6 -2 0 +1
3.7- 4.8 -4 -2 -1 1
4.9- 6.1 -7 -4 -3
6.2- 7.3 -9 -6 -5
7.4- 8.2 1 -12 1 -8 -7
8.3- 9.7 1 -14 1 -10 1 -8
9.8-10.8 -17 -12 1 -10
10.9-12.0 -19 -14 -12
12.1-13.2 -22 -16 -13
13.3-14.5 -24 -18 -15
14.6-15.3 -27 -20 -17
outh-Facing ClazinR Pts
. I Glazing Type
Total I
X Of I Sngl, I Dbl._7_T_r_p_j7.
Floor (U - (U - (u
Area 1.10) 0.65) 0 47)1
1points Ivoints I oointsl
1 0 1 It 3 1 #3 1 a 3 1
1 up to 1 5 1 +2 1 +2 1 +Z
1 1.6- 3:6 1 -1 1 0 0
1 3.7- 5.2 1 -4 1 -2 -2
1 5.3- 6.5 1 -6 --r- -3
1 6.6- 7.7 1 -9 -6 -5
1 7.8- 8.9 1 -11 -8 -7
9-0-10-0 1 -13 -10 .1 -9
10-1-11-5 -17 -13 -11
11.6-13.0 -21 �-1 6 -14
13.1-14.5 -25 1 -19 -16
14.6-16.0 -28 1 -22 -19
Table 3-8. West -Facing Glazing Ptq.
T_ T
I - Glazing Type
Total I
2 f I Sngl, I Dbl, 7-77 P`1_. T
Fl:or (U - (U - I (U - I
Area 1.10) 0.65) 1 0.41)1
1points 1pol ts jly2ir it
T.�_� n_ ntsT
0 6 'or
I up to 1.3 +5 +6 +6
1 1.4- 2.2 +3 +5
2-S- 2.8 0 +"2 +3
2.9- 3.6 -3 0 +1
3.7- 4.2 -5 -2 0
4.3- 5.0 -8 -4 -2
5.1- 5.6 -10 -6 1 -4
1 5.7- 6.2 -13 -8 1 -6
6.3- 6.9 -15 -10 -7
7.0- 7.6 -18 -12 -9
7.7- 8.2 -20 -14 -11
8.3- 8.8 1 -22 -16 -13
8.9- 9.5 1 -25 -18 -15
9.6-10.i 1 -27 -20 -16
10.2-11.0 1 -29 �-23 -17
11.1-11.8 -35 -26 -21
11.9-12.7 -38 -29 -24'
12.8-13.5 -42 -32 -27
13.6-14.3 -46 -35 1 -29
14.4-15.2 -50 -38 1 �32
Table 3-9. Skvl1vht Points
I I I I - Glazing Type
I ' Glazing Type I Total I
Total I 1 2 of T -S-cl. I Dbl, I Trpl,T
% of I SnCl. I Dbl, I -T-r-p-I 7 Floor U - U - U -
floor I (U - I (U - I (U - I Area 0.66- 0.42- 0.41
Area 1 1.10) 1 0.65).1 0.41)1 1 1 1.10 1 0.65 1 do�n
I p L;, s 1pointsl I I
T_
0 4 4 1 9,4 1 1 up to 1.3 -1 1 0 0
I Points
I up to 1.3 1 +3 1 +4 1 +4 1 1.4- 2.2 -3 1 -2 -1
1.&- 2.4 +1 +2 1 +2 1 2.3- 2.8 -6 1 -4 -3 1
2.5- 3.6 -2 0 0 1 2.9- 3.6 -9 1 -6 -5 1
3.7- 4.6 -5 -2 -1 1 3.7- 4.2 -11 1 -8 -6
4.7- 5.6 -8 -4 -3 1 4.3- 5.0 -14 1 -10 -8
5.7- 6.7 -10 -fi -5 1 5.1- 5.6 -16 1 -12 1 -10
6..8- 7.7 -1 3 1 'wt'81 -7 1 1 5.7- 6.2 1 -19 1 -14 1 -12 1
7.8- 8.7 -15 1 -10 -Q '1 1 6.3- 6.9 -21 -16 1 -13 1
8.8- 9.7 -17 1 -12 -10 1 1 7.0- 7.6 -24 -18 1 -15
9.8-11.2 -21 .-IS -13 7.7- 8.2 -26 -20 1 -17
11.3-12.7 -25 -18 -15 8.3- 8.8 -28 -22 1 -19
12.8-14.0 -23 * -21 -18 8.9- 9.5 -31 -24 1 -21
14.1-15.3 -32 -24 1 -20 9.6-10.1 -33 1 -26 -22
jable 3-10.
Shading Coe�flcient Points
SC by
Orten-
Floor Area
tation
Zast
. . ..........
3.2
0-3-1 to 6.4 up
6.3
I
1 0 -.19
T
1 0 +1 +2
.20-.36
0 0 -1
.37-.6fi--
0 0 0
.67-.82
0 0 -1
.83 up
0 -1 -2
South 1
0 1 3.2 6.4 1 8.0 1 9.6
to to to to up
3.1 7.9 9.5
6.3
0 -.18 1
0 +1 +2 +2 +3
.19-.42
0 0 o 0 0
0 _H -2 T2 -3
-2
-Tr-up
0 -4 -4 -6
West
.1 1.6 3.2 6.4 9.0
to to to to up
1.5 3:1 6.3 7.9
0-12 1
0 +1 +3 +6 +7
.13-36 1
0 0 0 0 0
.37-.57
0 -1 -3 -6 -7
.58-.82
-1 -3 -6 1 -12 1 -15
.83 up
-2 'I__4 -8 -16 1
f
Skylight
.1 .8 1 1.6 3.2 4.0
to to to to to
.7 1.5 3.1 1,9,91 5.2
0-12
0 + +3 +6 1 +7
.13-36
0 o 0 0 0
.37-57 -1 -3 -6
58-
-1 -3 -6 -12
:83 up -2 -4 -8 -16 -20
Table 3-11. Horizontal South
Overhang Point -
I S �u-th--G-17-7 -1n-g-T
Length Out Area. X of floor
from Wall
f t T_ -7
1 0-6.3 614 up I
J 0 - 0.5 1 -2 1 -4 1
0.6 - 1.0 1 -2 1 -3
1.1 - 1.9 1 -1 -:2
2.0 up 0 0
Table 3-12. Movable Insulation
Points
Moveable Insulation]
Area. Z of Floor P I
T_
0 - 5 0
5 6 +2
1 1 :6
�16 0 7 .5 1 +4
I �23.5 +6
>23.6+ +8
Table 3-13. I-011ttation Control
Featt-res Points
I CO21rol Features Points
T_
I Standard 0
1.9 air changes per hr
T_
Tight +12
11.6 31T changee per hr
Table 3-15. Cos Furnace Without
Refrigeration C7ol!nq Point 5
T
Seasonal Efficiency Points
(SE), I
71 - 76 0 1
82",,,,
77 - 82 +2
83 - ali +4
9 4 .6
u P +8
Table 3-16. Peat Pueo Points
Energy Effic!ency Points
Ratio (EER)
7.5 - 7.9
+3
S.0 - 8.3
+6
3.4 - 3.7
+9
8.8 - 9.
Z6
+12
9.2 - .
+13
7 10.
10.2
+18
.1:.?
- 10.8
+21
.9 - 11.5
+24
11.6 - 12.3
+27
12.4 - 13.2
+30
Table 3-17. Cas Furnace With
T_ I I
!RefvIgeractod Gas Furnace
I cooling I SE %
1 8.0 - 8.3 1 X+21 4-41 +61 +8 1
1 8.4 - 8.7j,4+21 +4f +51 +91+10 1
I 9,el *41 +61 +81+101+12 1
1 %7 1 +61 +81+1014121+14 1
9.8
3 1 -31 *10 1 +121+141+16 1
0 `4 10.9 1+101+1.21+141+161+18 1
1 11.0 11.4 1+121+141+1614-1814-2(1 1
7/7/83
TABLE 3-14 (ADAPTED)
MASS
DUFLLINC ARVA f_n1JARV FMOT
ZONE 11 ,
INTEkIOA THERMAL MASS. POINTS
AREA
1.000
Net Solar Fraction (NSFi. Z
er unit,
. p p r i
c2.
f f,2
1.600
0
Beat Pump
0
Solar with zlectric
Reitstance Backup
Meeting the Require-
3.000
0.9
10-19
3.SO 0
30-39
40�49
4.000
60-69
70-79
4.500
�00
+3
S.000
+10
SQ. FT.
A
8
C
0
A
I
C
D
A
6
C
D
A
B
C
D
A
3
C
0
A
9
t
0
A
8
C
1)
A
6
C
F1 5
T-
E r.
+4
4.5
1 +6
+7
*9
All others (pe building points)
800-899
0
+5
+10
+14
+24
+29
+34
900-999
0
+4
+9
+13
+17
--+it
+26
+3;)
I.00D--I-. 199
0
+4
+7
+it
+15
+r9l,
+22
+26
1,2k,1,499
+3
so
.
+12
+15
'
2
1,500-1.999
2
.0
2
2
2
0
0
0
0
0
0
0
' 0
0
0.
0
0
0
0
0
0
0
0
0
0
0
a
0
a
!00.
1
4
'
2
.2
2
2
2
2
2
2
2
2
2
2
0
2
2
2
2
2
2
2
2
2
ISO
6
_
6
4
4
4
2
2
*2
2
2
2
2
2
2
2
2
2
:
2
2
2
2
Z
:
0
0 2
0
2
0
2
0
0
200
B
a
4
6
6
4
2
4
4
4
2
4
4
2
2
2
2
.2
2
2
.2
2
2
2
2
2
2
2
2
2
2 Z'
Z
2
5
253
10
1 0
a
6
1_""
6
6
G
4
6
6
4
2
4
4
4
2
4
4
2
1
2
2
2
2
2
2
2
2
2
2
2
2 2
2
2
Z'
300
12
12
10
6
�:64:
6
6
6
4
6
6
4
2
4
4
4
2
4
4
2
2
2
2
2
2
2
2
2
2 2
7
2
2
350
14
14
12
8
18
0
1 IT
0
10
I
a
8
6
6
6
4
6
6
6
2
6
4
4
2
4
4
4
2
4
4
2
2
4
4
2
7 2
2
2
2
400
14
14
12
8
10
10
8
6
8
6
4
6
6
4
4
6
6
4
2
4
A
4
2
4
4
2
4
4
2
2 4
4
2
2
50+3
18
18
16
10
12
12
10
6
I
I 0
I
10
0
a
R
8
6
4
6
6
6
4
6
6
6
2
6
:
4
2
4
4
4
2
603
22
20
18
12
14
14
12
8
12
12
10
6
I
1
0
0
a
a
6
6
8
8
6
4
8
6
6
4
6
6
6
4
6
6
4
2
?go
1 24
24
20
14
18
16
11
10
14
14
12
8
10
10
10
6
6
10
10
8
6
8
6
4
8
S.
6
4;
6
4 6
6
f
Vo
26
24
22
16
70
16
IG
10
14
14
12
8
12
12
10
10
10
10
1-0_
1
6
1 0
:
8
4
1 -
6
8
6
6
4 6
6
G
3
900
Z8
28
24
16
22
20
18
12
16
16
14
10
14
14
12
8
12
10
6
10
10
3
6
a
8
8
4
8
6
6
4 a
a
6
r
Itelo
30
�O
26
18
22
20
20
14
TO
18
16
10
14
14
12
8
12
1 .
�O8
1
6
12
10
10
10
10
8
6
8
8
0
4 ^3
a
6
4
].'.Do
3 Z
32
28
L 0
24
24
22
14
20
20
10
+10
16
16
14
8
14
14
12
8
1 2
2
10
0
6
10
10
0
10
6
6
In
10
0
e
E
1.200
34
32
30
22
26
26
22
16
22
20
IS
12
IS
18
14
10
14
14
12
8
I
14
2
12
0
'0
12
12
10
0
f
&
I
1 0
6 1 n
10
8
6
I j 01 0
34
34
32
22
28
26
24
16
22
22
20
12
18
18
16
10
15
14
14
8
1 4
1:4
12
1
6
6
12
12
10
6
12
10
10
G 10
10
F.
6
1 -00
34 -
34
32
24
28
28
26
18
2:
24
20
1 :
20
18
12
18
16
14
10
1
14
1
1 2
8
4
1 4
)4
12
.:Z
g
8
I 2
I 2
1 G
'. 1 To
To
10
S
I ieo
36
34
34
24
30
30
26
18
i
24
22
120
I
22
20
18
12
18
18
16
10
16
-16
14
8
1:
1 4
1 2
1?
12
10
& I ?
I z
I -�
6
2,000
34
34
32
22
30
30
26
18
26.
22
16
22
22
20
14
20
20
18
12
is
I 6
to
I a
1:
To
16
126
i
G 14
14
12
2.500
34
34
3 0
126
2 2
30
30
26
18
26
26
24
16
24
24
2
_ _
22.
14
1
22
22
2Z
2
18
0
is
is
16
0
3.000
34
32
30
22
30
30
26
28
28
6
24
1
16
24
24
2
22
�1 4
.1
22
20
20
14
3.500
32
32
30,
20
30
30
26
18
26
28
24
16
26
24
2
1 ?4
2, 4
20
14
.1.000
32
32
30
20
30
30
26
18
78
218
2
1
1.5
2Z.
2z
1 f
4.500
32
32
28
20
30
3
3-)
2
r.
f
5
17
zi
zo 1.)
1.;
A) 1. 3�' Concrete Slab: HC -11.93; R-.29; Factor -7.3
2. 3 3/4" Thick Common Brick: IIC-7.125: R-.133. Factor -7.3
1: S%*,Concr;te,$Iab: RC -14 i!0'1;63'*
C 1 8" a) I d 11 ad Block* *H 2 . ; R- Fac a
2. 8" Solid Filled Block With Both Sides Exposed To Conditioned Air.
NOTE: Use all square footage directly exposed to conditioned air
. for Thermal'.Mass Area: HC -10.164; R-.965; Factor -6.1
D) I' Thick Concrete/Tile:' KC -2.55; R-.083; Factor�-3.7
Table 3-19. Zonally Controlled
Electric Rest,-tance
Space Heating Points
Points for this measure w!ll
be c*,V1 ete4 after the CEC
as
p VQ4%G- an Alternative
Cooponenpt Pa�-ka-ge-far_Resistance
I Beat.
Table 3-18. Active Solar Space
Heart nq wlih Cas Points
T_ T
'let Solar Fraction Points I
(NSF),
-7
0 6 0
7 14 +2
15 23 +4
24 30 +6
31 39 +8
40 - 47 +10
48 - 55 4.12
56 - 63 +14
64 - 71 +18
72 up +20
Table 3-2n. Solar Water Heatinz With Cas Harkan Painta
wood stove #33 point�s-(no back u
casablanca
(p r unit points)
r11u.1t,1,U1amily
Floor Are.,
Fl. r A
Net Solar Fraction (NSFi. Z
er unit,
. p p r i
c2.
f f,2
Gas Only
0
Beat Pump
0
Solar with zlectric
Reitstance Backup
Meeting the Require-
0.9
10-19
20-29
30-39
40�49
50-59
60-69
70-79
600-799
�00
+3
+7
+10
+14
+17
+21
+24
800-999
+3
+5
+8
+11
+14
+16
+19
1,000-1,499
0
+4
+6
+8
+10
+12
+14
1,500-1,999
0
+1
+4
+6
+7
+8
+10
2X00 and uo
0'
+1
+
+4
4.5
1 +6
+7
*9
All others (pe building points)
800-899
0
+5
+10
+14
+24
+29
+34
900-999
0
+4
+9
+13
+17
--+it
+26
+3;)
I.00D--I-. 199
0
+4
+7
+it
+15
+r9l,
+22
+26
1,2k,1,499
+3
+6
+9
+12
+15
+21
1,500-1.999
0
+11
+5
+7
+9
+12
+14
- +16
2,000-2.999
0
42
4-3
+5
47
+8
+10
3EM
+11
3,000 ar.d up
+1
+3
+4
+5
4-7-
*9
+10
Table 3-21. Other Water Heating Pts.
I I I
I Syseem Type I
Points I
Gas Only
0
Beat Pump
0
Solar with zlectric
Reitstance Backup
Meeting the Require-
ments lu Part 2
0
2IecCLLL_UA
i:Z12L
L;UUN I Y Lit- t$U I t_UDL_1%J WV%-Jvlr,%13
�C , I t: - Ut_t�AH I �A : 51
ounty Center Drive - Oroville,. Califo�nia elephone 916/534-4541
Z K�i
APPt iufln MTEP3�t IM'TI T
ASSESSOR PARCEL NUMBER
-/ &.)- - � 9 - 3 -,-)-
BUILDING PERMIT
-
-
OWNER
A, YI tQ1,r( i C_
TELEPHONE�
SQ.FT. BUILDING VALUATION
RIS iAA_L.ING ADORES
0 W E I
? Y W &R
"n,
CONTRACTOR'5NAM� T E L_ E P
CONTRACTOR'S MAILING ADDRESS.
Pi�eplace
CONSTRUCTION LENDER
JUNKNOWN
Total Valuation
go D
Filing Fee
A 0 10.00
LFND.ERIS MAILING ADOREsS
Permit Fee
ARCHITECT OR ENGINEER
LICENSE NO.
I
Plan Checking Fee 'ri,
gy
Penalty "Xavo
0 0
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
Q 173.no 1
BUILD G ADDRESS
Xv-lo p--� q Ws H u r-1 a,rol^.
P LUMBING PERMITC>"'
lingFee 10.00
.
Each Trap
2.00
19
Solar Water Heater
20-00
Water piping
5.00 4��o
LOT NO.
SUBDIVISION NAME
1PARCEL MAP
Each qas Water heater R_I_vt�
5.00
Gas piping system I - 5VieflWs�_
5.00
USE OF STRUCTURE
SF[9/ Duplexo Mobileho I me[! Other
SPECIFY
building sewer
5.00 o
Mobile Home S JWLJ
10.00 ea
TYPE OF WORK
New P_T_"Addition [-I Remode 1 [:1 Utilities [I Instal lat:ion El Other El
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT.
Fil i ng Fee 10.00
600V OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP..
2.50
NEW O-fT_ --EJ
0 R A DONS. (A,:,::.
1�20sq ft
21/2 Osq f
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
D 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) Z.
1, as the owner, am exclusively contracting with licensed contract -
.(Sec. 7044*1
ors; I
F1 I am exempt under Sbc.—, Business and Professions. Code
for this reason
NEW.CONSTMJ MULTI -OUTLET
NON . RESID. N BRANCH CIRCUITS) 2.50 ea.
NEW CON,STR. OWER APPARATUS.1h)
NON -RES 0. (SPINGLE OUTLET CIR
—Ex. OCCUP(OUTLETS OR FIXTURES 20050E -
BAL@30g,
FIXED APPLNS. OR
Ex. Occup� OUTLETS (RE51D.) EA.) 2.00
Temporary service 10.00
Mobile Home- Facilities. 15.00
Misc. Wiring 15.00
I
$
—Permit -Fee
Contractor
MECHANICAL PERMIT
1 00
FilingFee 10-00
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
[-] The permit is for $100.00 (valuation) or less.
Ej, I have placed. on file with the County of Butte Building Department
a Pertificate of Workmen's Compensation Insurance or a Certificate
Consent to Self-lns�ure.
I sha I not employ any person in any manner so as to become subject
t.1the 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.
0
Heating nz A—"%
—
Cooling
Hood
'(0)
3.00 ID
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 Counkyof
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against sald C n y in consequence of the granting of this permit.
X/�J Date
S"ig"no'tureof Applicant Own ' erLA ontractor 0 Age 1/11 �/ .11
An OSHA permi*t is ryuired for e)/c'cvations over 5'0" deep and demolition of construct-
ion of str ctures over stories in hei.ght.,
Mobile Home Installation Fee
$
0, o
TOTAL PERMP�,�E 'VL/ C7,60
OCCUP. GROUP
F'SSUE
ermit il*ere
This p kV4Vq,6wd under
sions of the IMV ode and/or
Godff FY C
work indicated ve for which
a�*�DIRECTOR OF PUBLIC
By Date
PERMIT EXPIRES
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Datz.
Receipt N,,). 7
WHITE-D.P.W., YELLOW -ASSESSOR, PINK-114SPECTOR. GOLDENROD -APPLICANT
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX, & MISC. ONLY)
e�-) y Bldg.
= 4?/ 1 e -A A.P.
A. GENERAL
1 Zoning requirements
(�� Valuation.
>vr Signature by R.C.E.
(sideyards and parking),.
or Architect (if requiied).-
B. PLOT PLAN
1. Complete parcel size and dimensions.
2. Setbai--kq, sideyards, easements, etc.
3. Other buildings or structures.
4. Grading, fills, drainage.
0%&
C1_Z_Z
Permit # J,7
# /Z:T,
e�� - ;z, SAV
XT ow%4.es ib
IDA. 42
t- ry 0*4 t
C. FLOOR PLAN
ak� Complete to scale plan with dimensions.
-2' Required windows for light and ventilation (Sec. 1405).
Required windows for second exit (Sec. 1404).
.4— Allowable glazing.for energy requirements (20% max.'per.State law).
o*-�Human impact glass (Sec. 5406).
...... ko." Required room sizes, ceiling heights (Sec. 1407).
G.F.C.I.'s'in baths and exterior outlets (Sec. 210-8).
Light fixtures, switches, recep tacles, and exterior receptacles,for maintenance of
mechanical equipment.
&.Locations of water heater, hca—tinZ--L--c-oDI-ing-equ-i-pmen-tother-electric,4,1,_Rr gas
equipment,.:and plumbing fixtures.
-DON-5-Garage firewall, door size, and closer (Sec. 503(d)(4)).
1 - 3'0" exterior exit door (Sec. 3303d).
Fireplace location.
,k3l Smoke detectorg'(Sec. 1413).
D. STRUCTURAL DETAILS
,ol----Foundatiomplan complete enough to construct building.
.2"*'Floor construction details complete enough to construct building.
.3 -*'--Elevations and wall construction details complete enough to construct
.4 -----Roof construction details complete enough to construct building.
-Se F
ireplace construction details and calcs if over one-story in height.
6 -"--Sufficient data and details to satisfy energy insulation requirements
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
CCX plywood on exposed locations and overhangs.
.-r�_Stairway details (Sec. 3305).
Ai�" Guardrail details (Sec. 1716).
Brick or stone veneer (Chapter 30).
,.T< Exterior plaster - weep screeds (Sec. 4706 & 4708).
tk'_ Proper roof pitch for roof covering (Chapter 32).
;W'." -Rafter ties or bearing ridge beam.
,&-.--G vage doeveor porch header sizes.
.9 -.---Adequate bracing.
,N<'Living area over garage - 'complete 1 -hour separation
walls and posts, etc *
Two (2) exits on three-story dwellings (Sec. 3302).
building.
(State law).
required including supporting
Ale v O:r '00�x